SearchTennessee163WM0705X

Jonathan Jackson, RN

NPI 1861754004 · on the registry since 2012

Practice

Address
120 Stockton Rd
Chuckey, TN 37641
Phone
(423) 552-0996

Registry record

Primary taxonomy
163WM0705X
163WM0705X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-06-13

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