Individual
MRS. TIFFANY CIARA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1400 J R LYNCH ST, JACKSON, MS 39217-5511
(601) 979-2260
(601) 979-9228
Mailing address
222 GRACE DR, FLOWOOD, MS 39232-5511
(601) 807-6175
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902856
MS
Other
Enumeration date
08/09/2018
Last updated
05/23/2019
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