Search › Tennessee › 363LF0000X
Ellanikole Jackson, DNP
NPI 1932676194 · on the registry since 2018
Practice
- Address
- 11268 Highway 57
Counce, TN 38326 - Phone
- (731) 438-3456
- Organisation at this address
- Family Clinic At The Lake Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-24
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