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1184911943
DEANNA LOUISE JACKSON
MEMPHIS, TN
NPI
1184911943
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Former Name
DEANNA LOUISE WILLIAMS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 16920)
Enumeration Date
2011-06-30
Last Update Date
2019-08-20
Business Address
Mrs. DEANNA LOUISE JACKSON CRNP
1169 JEFFERSON AVE
MEMPHIS, TN 38104-7217
Phone number: 901-425-1880
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Mailing Address
Mrs. DEANNA LOUISE JACKSON CRNP
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703-9329
Phone number: 562-622-2800
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