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Individual
TREMEZE SCOTT JACKSON
Active
Individual
TREMEZE SCOTT JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN228481
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN228481
GA
Other
Enumeration date
07/18/2017
Last updated
07/02/2023
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