KELLY NICOLE JACKSON

JOHNSON CITY, TN
NPI1306505854
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  30680)
Enumeration Date2021-12-13
Last Update Date2021-12-13
Business Address
KELLY NICOLE JACKSON FNP
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6035
Phone number: 423-431-2922
Mailing Address
KELLY NICOLE JACKSON FNP
2382 OLD STAGECOACH RD
JONESBOROUGH, TN 37659-4868
Phone number: 423-431-2922