Individual
TRINETTE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 WOODLAWN ST, MEMPHIS, TN 38107-2531
(901) 674-8960
Mailing address
905 WOODLAWN ST, MEMPHIS, TN 38107-2531
(901) 674-8960
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
02/03/2024
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