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1336342559
TWANNA EVETTE JACKSON
MEMPHIS, TN
NPI
1336342559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 12795)
Enumeration Date
2007-06-06
Last Update Date
2023-06-21
Business Address
Mrs. TWANNA EVETTE JACKSON APN, BC
855 S 4TH ST
MEMPHIS, TN 38126-5017
Phone number: 901-593-2530
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Mailing Address
Mrs. TWANNA EVETTE JACKSON APN, BC
855 S 4TH ST
MEMPHIS, TN 38126-5017
Phone number: 901-593-2530
Copy
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