Individual
MS. KATHERINE DANIELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2200 CHILDRENS WAY, NASHVILLE, TN 37232-0005
(615) 936-1602
Mailing address
2200 CHILDRENS WAY, NASHVILLE, TN 37232-0005
(615) 936-1602
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
18248
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
18248
TN
Other
Enumeration date
12/26/2013
Last updated
10/22/2020
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