Tiffany Ciara Smith, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902856 Issued in MS

Practice address

1400 J R Lynch St
Jackson, MS 39217-5511

Phone

(601) 979-2260

Fax

(601) 979-9228

NPI assigned

Aug 9, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1750860755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 GRACE DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392325511",
            "telephone_number": "601-807-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 J R LYNCH ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392175511",
            "telephone_number": "601-979-2260",
            "fax_number": "601-979-9228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Grace Dr",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392325511",
            "country_code": "US",
            "telephone_number": "601-807-6175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIFFANY",
        "middle_name": "CIARA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Carolyn Smith
• Tasha D Smith, LMFT
• Taylor Franklin Smith, M.D.
• Tayonna Smith
• Thomas Bennett Smith, M.D.
• Triston Ezekiel Smith, MD
• Tyesha Smith, ALL
• Ulanda Eyvette Smith, LPTA
• Vanessa Atkinson Smith, MS, CCC-SLP
• Victor Oneil Smith, CEO/COO

• Family Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.