Individual
MARINE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5865 HICKORY CMNS, MEMPHIS, TN 38141-5809
(901) 896-6888
Mailing address
5865 HICKORY CMNS, MEMPHIS, TN 38141-5809
(901) 896-6888
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
76160
TN
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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