ALICE MARIE JACKSON

CLARKSVILLE, TN
NPI1285913566
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TN  APN0000015967)
Enumeration Date2011-08-04
Last Update Date2014-11-04
Business Address
Mrs. ALICE MARIE JACKSON APN
2690 MADISON ST SUITE 130
CLARKSVILLE, TN 37043-5975
Phone number: 931-245-1701
Mailing Address
Mrs. ALICE MARIE JACKSON APN
2690 MADISON ST SUITE 130
CLARKSVILLE, TN 37043-5975
Phone number: 931-245-1701