Individual
JANICE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 MARRIOTT DR STE 315, NASHVILLE, TN 37214-5088
(615) 258-8400
Mailing address
555 MARRIOTT DR STE 315555, NASHVILLE, TN 37214-5020
(615) 258-8400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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