Individual
ZHA'NAE L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 WEST BOW STREET, SUITE B, TYLER, TX 75702
(586) 696-3500
Mailing address
901 WEST BOW STREET, SUITE B, TYLER, TX 75702
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
OTHER
TX
Enumeration date
07/05/2019
Last updated
02/14/2025
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