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Individual
MRS. TREENA W JACKSON
Active
Individual
MRS. TREENA W JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, MSN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN0000101380
TN
363LF0000X
Family Nurse Practitioner
Primary
APN7037
TN
Other
Enumeration date
05/10/2006
Last updated
10/13/2020
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