Individual provider · Type 1 NPI

Etoshia Jackson, DNP, FNP-C

Family Nurse Practitioner · Memphis, TN

NPI number 1982248779 Active

Practice location

877 Jefferson Ave
Memphis, TN 38103-2807

Mailing address

6208 Joy Blvd S
Horn Lake, MS 38637-2462

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26787 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1982248779

Etoshia Jackson, DNP, FNP-C's National Provider Identifier is 1982248779, issued on Nov 5, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Memphis, TN. The record was last updated on Nov 5, 2019.