Individual
SHELIA LENETT JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
142 SIGNATURE GLEN CIR E APT 301, COLLIERVILLE, TN 38017-2875
(769) 666-1728
Mailing address
142 SIGNATURE GLEN CIR E APT 301, COLLIERVILLE, TN 38017-2875
(769) 666-1728
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
34729
TN
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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