Individual
THOMAS E JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
2018 WESTERN AVE, KNOXVILLE, TN 37921
(865) 544-0406
(865) 544-0480
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN72732
TN
363LF0000X
Family Nurse Practitioner
APN6129
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3642687
—
TN
Enumeration date
02/17/2006
Last updated
09/11/2025
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