Individual
TONIA L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6444 RIVERPLACE DR, NASHVILLE, TN 37221-6546
(615) 496-5383
Mailing address
6444 RIVERPLACE DR, NASHVILLE, TN 37221-6546
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD0000037269
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
37269
TN
Other
Enumeration date
06/06/2006
Last updated
05/12/2014
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