Individual
MRS. TAMBA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
443 NYU PL, MURFREESBORO, TN 37128-2864
(901) 273-3142
Mailing address
443 NYU PL, MURFREESBORO, TN 37128-2864
(901) 273-3142
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2016112440
TN
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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