Individual
DR. PATRICIA SUZANNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 VON KARMAN AVE, TULLAHOMA VA CLINIC, ARNOLD AFB, TN 37389
(931) 454-6134
Mailing address
225 VON KARMAN AVE, TULLAHOMA VA CLINIC, ARNOLD AFB, TN 37389
(931) 454-6134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD017814
TN
Other
Enumeration date
10/25/2006
Last updated
07/25/2013
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