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Tasheka Jackson
NPI 1457004863 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4204 E Mallory Ave
Memphis, TN 38111 - Phone
- (901) 649-0305
- Fax
- (601) 340-9588
Registry record
- Primary taxonomy
- 335E00000X
335E00000X
- Also registered as
- 332BC3200X
- Sex
- Female
- Record last updated
- 2022-01-27
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