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Tierra Jackson, TATTOO LICENSE
NPI 1366267627 · on the registry since 2024
Practice
- Address
- 3322 S Campbell Ave # X
Springfield, MO 65807 - Phone
- (417) 771-5540
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Also registered as
- 247200000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-20
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 Missouri