Individual
MRS. KAREN ELLIS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1909 HAMPSHIRE PIKE, COLUMBIA, TN 38401-5650
(931) 388-5757
Mailing address
223 CROSS VALLEY DR, COLUMBIA, TN 38401-2084
(931) 388-2778
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
58330
TN
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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