Individual
KELLY AMANDA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1700 MEDICAL CENTER PKWY, MURFREESBORO, TN 37129-2245
(615) 396-4100
Mailing address
1700 MEDICAL CENTER PKWY, MURFREESBORO, TN 37129-2245
(615) 396-4100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN0000023786
TN
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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