Individual
DR. TENNYE R JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3960 KNIGHT ARNOLD RD, MEMPHIS, TN 38118-3035
(901) 753-7154
(901) 755-9035
Mailing address
3960 KNIGHT ARNOLD RD, MEMPHIS, TN 38118-3035
(901) 753-7154
(901) 755-9035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27165
TN
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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