Search › Tennessee › 183500000X
Clarence Jackson
NPI 1487976288 · on the registry since 2010
Practice
- Address
- 230 Long Hollow Pike
Goodlettsville, TN 37072 - Phone
- (615) 859-3498
- Fax
- (615) 855-2112
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-02-19
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