Individual
BRETT JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
215 S ANDERSON ST, TULLAHOMA, TN 37388-3735
(931) 563-7464
(931) 563-7401
Mailing address
PO BOX 326, WINCHESTER, TN 37398-0326
(931) 563-7464
(931) 563-7401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25168
TN
363LF0000X
Family Nurse Practitioner
25168
TN
Other
Enumeration date
11/13/2018
Last updated
02/20/2024
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