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Zachary Jackson
NPI 1881266559 · on the registry since 2021
Practice
- Address
- 1661 Newbern Rd
Kingsport, TN 37664 - Phone
- (423) 335-0535
Additional practice sites
- 105 W Stone Dr, Kingsport, TN
- 915 Holston Hills Dr, Kingsport, TN
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-14
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