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1184098956
MIKA TRALAYNE JACKSON
MEMPHIS, TN
NPI
1184098956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN 20566)
Enumeration Date
2015-11-17
Last Update Date
2023-06-26
Business Address
MIKA TRALAYNE JACKSON APRN, PMHNP
MENTAL HEALTH COOPERATIVE
MEMPHIS, TN 38122-2127
Phone number: 866-816-0433
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Mailing Address
MIKA TRALAYNE JACKSON APRN, PMHNP
275 CUMBERLAND BND
NASHVILE, TN 37228
Phone number: 615-726-3340
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