Individual
KIANNA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1161 21ST AVE SOUTH, CCC-4322J MCN, NASHVILLE, TN 37232
(615) 936-2217
Mailing address
1161 21ST AVE SOUTH, CCC-4322J MCN, NASHVILLE, TN 37232
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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