Individual
MRS. JENNIFER J JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
200 MAYFIELD DR, SMYRNA, TN 37167-3019
(615) 355-0350
Mailing address
7053 NOLEN PARK CIR, NOLENSVILLE, TN 37135-9549
(615) 414-8338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1506
TN
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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