Individual
MS. MCKENZIE JO JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1740 MEMORIAL DR STE 1, CLARKSVILLE, TN 37043-9501
(931) 645-3937
(931) 645-1043
Mailing address
1740 MEMORIAL DR STE 1, CLARKSVILLE, TN 37043-9501
(931) 645-3937
(931) 645-1043
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2124
TN
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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