Individual
DANA ANDREA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 S ANDERSON ST, TULLAHOMA, TN 37388-3735
(931) 563-7464
(931) 563-7401
Mailing address
PO BOX 326, WINCHESTER, TN 37398-0326
(931) 563-7464
(931) 563-7401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN24018
TN
Other
Enumeration date
06/19/2018
Last updated
02/20/2024
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