Individual
ROSHENIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 GEORGE BUCHANAN DR, LA VERGNE, TN 37086-2843
(615) 267-1923
Mailing address
2025 GEORGE BUCHANAN DR, LA VERGNE, TN 37086-2843
(615) 267-1923
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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