Individual
ELIZABETH JACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 SUNSET VW, SHARPS CHAPEL, TN 37866-1995
(850) 797-1873
(850) 797-1873
Mailing address
510 SUNSET VW, SHARPS CHAPEL, TN 37866-1995
(850) 797-1873
(850) 797-1873
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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