TRACY P JACKSON

WALNUT CREEK, CA
NPI1154436590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207LP2900X Anesthesiology, Pain Medicine
(Licence: TN  42636)
Additional Taxonomies207LP2900X Anesthesiology, Pain Medicine
(Licence: CA  A97159)
207LP2900X Anesthesiology, Pain Medicine
(Licence: NC  200300358)
2083A0300X Preventive Medicine, Addiction Medicine
(Licence: TN  42636)
2083A0300X Preventive Medicine, Addiction Medicine
(Licence: CA  A97159)
2083A0300X Preventive Medicine, Addiction Medicine
(Licence: NC  200300358)
Enumeration Date2006-08-19
Last Update Date2022-10-10
Business Address
Dr. TRACY P JACKSON MD
2960 CAMINO DIABLO STE 105
WALNUT CREEK, CA 94597-3945
Phone number: 800-892-2695
Mailing Address
Dr. TRACY P JACKSON MD
719 THOMPSON LN STE 22209
NASHVILLE, TN 37204-4692
Phone number: 615-322-4311