Individual
DR. CYNTHIA DARLEEN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3104
TN
Other
Enumeration date
12/05/2007
Last updated
12/27/2016
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