Individual
DR. MELODY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
2609
TN
111NN1001X
Nutrition Chiropractor
Primary
2609
TN
111NP0017X
Pediatric Chiropractor
2609
TN
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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