Search › Florida › 101YM0800X
Tiffany Jackson
NPI 1164950630 · on the registry since 2017 · sole proprietor
Practice
- Address
- 21808 State Road 54
Lutz, FL 33549 - Phone
- (813) 428-6100
- Organisation at this address
- Baycare Behavioral Health Associates Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 38
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida