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Richard Jackson, MD
NPI 1457359770 · on the registry since 2005 · sole proprietor
Practice
- Address
- 106 Pinnacle Dr
Suite 107
Johnson City, TN 37615 - Phone
- (423) 328-7332
- Fax
- (423) 207-1222
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Psychiatry
2084P0800X
- Also registered as
- 2084A0401X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-17
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