Individual
JAMES SCULLY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 S CLAYBROOK ST STE A206, MEMPHIS, TN 38104-3539
(901) 516-7509
Mailing address
2540 BROAD AVE APT 452, MEMPHIS, TN 38112-2644
(678) 463-7269
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
72921
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
05/05/2026
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