Individual provider · Type 1 NPI

Alfred Vaughn Derise Jackson Jr., MD

Family Medicine Physician · Knoxville, TN

NPI number 1609189695 Active

Practice location

930 Adell Ree Park Ln
Knoxville, TN 37909-2543

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X50821 (TN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000X50821 (TN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1609189695

Alfred Vaughn Derise Jackson Jr., MD's National Provider Identifier is 1609189695, issued on Jul 19, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Knoxville, TN. The record was last updated on Mar 23, 2023.