Organization · Type 2 NPI
Diabetes Center of Jackson, PLLC
Family Nurse Practitioner · Jackson, TN
NPI number
1003315524
Active
Practice location
2782 N Highland Ave Ste C
Jackson, TN 38305-1797
Mailing address
214 Charles Latham Dr
Jackson, TN 38301-9049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1003315524
Diabetes Center of Jackson, PLLC's National Provider Identifier is 1003315524, issued on Feb 10, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, TN. The record was last updated on Mar 28, 2018.