Individual
MRS. DEBORAH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN CCM
Contact information
Practice address
9939 ROLLING WIND DR, SODDY DAISY, TN 37379-3549
(423) 243-4272
Mailing address
9939 ROLLING WIND DR, SODDY DAISY, TN 37379-3549
(423) 243-4272
(877) 211-6848
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
61638
TN
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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