Individual
MS. TIFFANY CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-C
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
903208
MS
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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