Individual
HEATHER JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 KNOXVILLE HWY, WARTBURG, TN 37887
(423) 346-6272
(423) 346-2349
Mailing address
1103 KNOXVILLE HIGHWAY, WARTBURG, TN 37887
(423) 346-6272
(423) 346-2349
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
TN
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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