Individual
JOSEPH L JACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8208 CARRIAGE XING, CHATTANOOGA, TN 37421-3130
(423) 855-6800
(423) 855-1108
Mailing address
8208 CARRIAGE XING, CHATTANOOGA, TN 37421-3130
(423) 855-6800
(423) 855-1108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
8654
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
41543
TN
Other
Enumeration date
02/03/2006
Last updated
07/22/2014
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