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Marine Jackson
NPI 1912669466 · on the registry since 2021
Practice
- Address
- 5865 Hickory Cmns
Memphis, TN 38141 - Phone
- (901) 896-6888
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-12
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