OCTAVIA LANIECE JACKSON

KNOXVILLE, TN
NPI1457278749
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
Enumeration Date2026-06-30
Last Update Date2026-06-30
Business Address
OCTAVIA LANIECE JACKSON CCMA
2018 WESTERN AVE
KNOXVILLE, TN 37921-5718
Phone number: 865-544-0406
Mailing Address
OCTAVIA LANIECE JACKSON CCMA
1923 SULPHUR SPRINGS RD
MORRISTOWN, TN 37813-5654
Phone number: 423-317-9344
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