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1285092593
RUTH JACKSON
BARTLETT, TN
NPI
1285092593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 20545)
Enumeration Date
2016-02-01
Last Update Date
2016-02-01
Business Address
-- RUTH JACKSON APN
6697 STAGE RD
BARTLETT, TN 38134-3867
Phone number: 901-373-6498
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Mailing Address
-- RUTH JACKSON APN
10135 BLOOMSBURY AVE
CORDOVA, TN 38016-0198
Phone number: 901-246-5120
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