Individual
MRS. DEANNA LOUISE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1458 W POPLAR AVE STE 200, COLLIERVILLE, TN 38017-0631
(901) 472-2935
(901) 432-2439
Mailing address
1458 W POPLAR AVE STE 200, COLLIERVILLE, TN 38017-0631
(901) 472-2935
(901) 432-2439
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16920
TN
Other
Enumeration date
06/30/2011
Last updated
01/20/2025
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