Individual provider · Type 1 NPI

Chantella Jackson

Community Health Registered Nurse · Clarksville, TN

NPI number 1639533003 Active

Practice location

330 Pageant Ln
Clarksville, TN 37040-3854

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500XRN000189701 (TN)

Community Health Registered Nurse: Definition to come...

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About NPI 1639533003

Chantella Jackson's National Provider Identifier is 1639533003, issued on Apr 11, 2016. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Clarksville, TN. The record was last updated on Apr 11, 2016.