Individual
JACKIE TEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
812 GREENWOOD AVE, CLARKSVILLE, TN 37040-4068
(877) 467-3123
Mailing address
2461 WIDGEON DR, CLARKSVILLE, TN 37042-8509
(336) 251-9632
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
105819
TN
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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