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Individual
DENETTE JACKSON
Active
Individual
DENETTE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
0000238645
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
42571
TN
Other
Enumeration date
07/19/2021
Last updated
07/22/2026
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