Individual
TAMMY T. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-3300
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-8961
(907) 729-5180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209610
AK
363L00000X
Nurse Practitioner
APN07265
TN
363LF0000X
Family Nurse Practitioner
Primary
209610
AK
363LF0000X
Family Nurse Practitioner
7265
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1747421
—
AK
05
—
616596673A
—
GA
Enumeration date
06/30/2006
Last updated
05/14/2026
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