Individual
DHAKIYA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3350 N GERMANTOWN RD, BARTLETT, TN 38133-4026
(901) 377-2111
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
31962
TN
363LF0000X
Family Nurse Practitioner
Primary
31962
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q078787
—
TN
Enumeration date
10/28/2022
Last updated
02/10/2026
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