Individual
JEFFREY SCOTT JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
3209 BRISTOL HWY., NHC HEALTHCARE, JOHNSON CITY, TN 37601
(423) 282-3311
Mailing address
3209 BRISTOL HWY, NHC HEALTHCARE, JOHNSON CITY, TN 37601
(423) 282-3311
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131001482
VA
224Z00000X
Occupational Therapy Assistant
Primary
2587
TN
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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