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Individual

JAKEISHA TAYLOR GOSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, PMHNP

Contact information

Practice address
20 N WASHINGTON AVE, BROWNSVILLE, TN 38012-2555
(901) 677-3405
(901) 441-8920
Mailing address
6025 STAGE RD STE 42-440, BARTLETT, TN 38134-8374
(901) 677-3405
(901) 441-8920

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19161
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
19161
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
902949
MS

Other

Enumeration date
10/13/2014
Last updated
02/03/2025
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