Search › Tennessee › 163WH0200X
Roger Jackson
NPI 1720653629 · on the registry since 2021 · sole proprietor
Practice
- Address
- 171 Noah Ln
La Follette, TN 37766 - Phone
- (423) 912-5097
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Also registered as
- 163WC0400X
163WC1500X
163WH1000X
163WM0705X
163WN1003X - Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-24
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