Individual
DANYELL JANEE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3807 DICKERSON PIKE STE J, NASHVILLE, TN 37207-1301
(615) 578-3693
Mailing address
469 PONDER PL APT 202, NASHVILLE, TN 37228-1922
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/28/2022
Last updated
05/28/2022
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