SearchTennessee1041C0700X

Tia Kyles Jackson, LCSW

NPI 1538417639 · on the registry since 2012

Practice

Address
1444 E Shelby Dr Ste 424
Memphis, TN 38116
Phone
(901) 270-8522
Organisation at this address
Optimal Home Health & Living
Jaly Transitions Incorporated
Memphis & Shelby County Ped. Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Additional practice sites

  • 703 Calvin Avery Dr, West Memphis, AR

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
1041C0700X
1041C0700X
Licence states on file
AR, MS, TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-10-18

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