Individual
AMY E JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 ROSA L PARKS AVE STE 3.380, NASHVILLE, TN 37243-4636
(615) 741-1709
Mailing address
601 BENTON AVE, NASHVILLE, TN 37204-2303
(615) 292-9770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11633
LA
1041C0700X
Clinical Social Worker
Primary
7385
TN
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/19/2020
Last updated
05/04/2021
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