Individual
DR. MARILYN MORAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
611 N MAPLE ST, MURFREESBORO, TN 37130-2835
(615) 396-8482
Mailing address
611 N MAPLE ST, MURFREESBORO, TN 37130-2835
(615) 396-8482
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0000003468
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000003468
TN CHIROPRACTIC PHYSICIAN LICENSE NUMBER
TN
Enumeration date
02/07/2022
Last updated
02/07/2022
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