Individual
SARA W JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2863 HIGHWAY 45 BYP, JACKSON, TN 38305-3618
(731) 422-0213
(731) 660-8380
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 425-5752
(731) 422-5743
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
186495
TN
363L00000X
Nurse Practitioner
Primary
30032
TN
Other
Enumeration date
07/26/2021
Last updated
08/31/2021
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