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Individual

SHARON ANN JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4230 HARDING PIKE, SUITE 330, NASHVILLE, TN 37205
(615) 269-4545
(615) 565-6789
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 284-7260
(615) 284-7501

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD0000021676
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30611102
TN
01
6012073
BLUE CROSS-BLUE SHIELD
TN
01
P01368041
RR MEDICARE
TN
Enumeration date
09/29/2006
Last updated
07/10/2018
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