Marcus Jackson
NPI 1295553899 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3742 Meadow Ridge Ln
Clarksville, TN 37040 - Phone
- (931) 542-7777
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-01
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