Individual
DR. JOHN OWENS JACKSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1323 EAST WOOD STREET, EAST WOOD CLINIC, PARIS, TN 38242
(731) 642-2011
(731) 644-2758
Mailing address
1323 EAST WOOD STREET, EAST WOOD CLINIC, PARIS, TN 38242
(731) 642-2011
(731) 644-2758
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD14033
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000296
—
TN
Enumeration date
07/07/2006
Last updated
02/12/2013
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