Individual
AKACYEA NYCOLE DECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
145 INNOVATION DR, JACKSON, TN 38305-3019
(731) 422-0213
(731) 422-0297
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 425-5783
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4647
TN
Other
Enumeration date
12/21/2020
Last updated
08/01/2024
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