Individual
MRS. TIFFANY A JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1693 S QUEEN ST, YORK, PA 17403-4609
(717) 845-1621
(717) 854-6939
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 845-1621
(717) 854-6939
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
AP2784
AZ
367A00000X
Advanced Practice Midwife
Primary
MW010667
PA
Other
Enumeration date
08/08/2007
Last updated
04/06/2022
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