Individual
MRS. ELIZABETH DIANNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2410 PATTERSON ST STE 100, NASHVILLE, TN 37203-1674
(615) 342-5600
(615) 342-5600
Mailing address
2300 PATTERSON ST, NASHVILLE, TN 37203-1538
(615) 342-5600
(615) 342-5609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5075
TN
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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