DIAMOND ALYSSIA JACKSON

KNOXVILLE, TN
NPI1033930797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  101092)
Enumeration Date2024-10-24
Last Update Date2024-10-24
Business Address
DIAMOND ALYSSIA JACKSON LPN
2018 WESTERN AVE
KNOXVILLE, TN 37921-5718
Phone number: 865-544-0406
Mailing Address
DIAMOND ALYSSIA JACKSON LPN
1923 SULPHUR SPRINGS RD
MORRISTOWN, TN 37813-5654
Phone number: 423-317-9344