Individual
REBECCA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5080
Mailing address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
167601
TN
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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