SearchTennessee224Z00000X

Jeffrey Jackson, COTA/L

NPI 1154792422 · on the registry since 2015 · sole proprietor

Practice

Address
3209 Bristol Hwy.
Nhc Healthcare
Johnson City, TN 37601
Phone
(423) 282-3311
Organisation at this address
Renuven Aco Pllc
Nhc Healthcare Johnson City Llc
Nhc Healthcare-Johnson City Llc
Nhc Healthcare-Johnson City Llc
Integrated Health Transitions, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
42

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Also registered as
224Z00000X
Licence states on file
TN, VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee