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1306330840
DANA ANDREA JACKSON
TULLAHOMA, TN
NPI
1306330840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN APN24018)
Enumeration Date
2018-06-19
Last Update Date
2024-02-20
Business Address
DANA ANDREA JACKSON
215 S ANDERSON ST
TULLAHOMA, TN 37388-3735
Phone number: 931-563-7464
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Mailing Address
DANA ANDREA JACKSON
PO BOX 326
WINCHESTER, TN 37398-0326
Phone number: 931-563-7464
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