Individual provider · Type 1 NPI

Denette Jackson, APRN

Psychiatric/Mental Health Nurse Practitioner · Jefferson City, TN

NPI number 1396318317 Active

Practice location

222 E Broadway Blvd Ste 205
Jefferson City, TN 37760-2837

Fax (615) 499-6537

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse 163WC1500X0000238645 (TN)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X42571 (TN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1396318317

Denette Jackson, APRN's National Provider Identifier is 1396318317, issued on Jul 19, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Jefferson City, TN. The record was last updated on Jul 22, 2026.