Individual
ELIZABETH R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
9025 US HIGHWAY 64, LAKELAND, TN 38002-7981
(615) 425-4295
Mailing address
9025 US HIGHWAY 64, LAKELAND, TN 38002-7981
(615) 425-4295
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6260
TN
363LF0000X
Family Nurse Practitioner
R786799
MS
Other
Enumeration date
06/26/2007
Last updated
02/04/2025
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