ANGELIQUE MECHELLE JACKSON

COLUMBIA, TN
NPI1144599366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: TN  16345)
Enumeration Date2011-12-16
Last Update Date2014-01-13
Business Address
MS. ANGELIQUE MECHELLE JACKSON RN, APN-BC
1410 TROTWOOD AVE
COLUMBIA, TN 38401-4901
Phone number: 678-754-7728
Mailing Address
MS. ANGELIQUE MECHELLE JACKSON RN, APN-BC
3425 MAPLE TIMBER DR
ANTIOCH, TN 37013-5453
Phone number: 678-754-7728
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