Individual provider · Type 1 NPI
Jonathan George Jackson, RN
Medical-Surgical Registered Nurse · Chuckey, TN
NPI number
1861754004
Active
Practice location
120 Stockton Rd
Chuckey, TN 37641-5900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | RN0000-176430 (TN) |
Medical-Surgical Registered Nurse: Definition to come...
About NPI 1861754004
Jonathan George Jackson, RN's National Provider Identifier is 1861754004, issued on Jun 13, 2012. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Chuckey, TN. The record was last updated on Jun 13, 2012.