SearchTennessee320900000X

Demarcus Jackson

NPI 1912888405 · on the registry since 2025 · sole proprietor

Practice

Address
938 Breedlove St
Memphis, TN 38107
Phone
(901) 463-6940

Registry record

Primary taxonomy
320900000X
320900000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-10

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