ROGER JACKSON

LA FOLLETTE, TN
NPI1720653629
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WH0200X Registered Nurse, Home Health
(Licence: TN  102279)
Additional Taxonomies163WC0400X Registered Nurse, Case Management
(Licence: TN  102279)
163WC1500X Registered Nurse, Community Health
(Licence: TN  102279)
163WH1000X Registered Nurse, Hospice
(Licence: TN  102279)
163WM0705X Registered Nurse, Medical-Surgical
(Licence: TN  102279)
163WN1003X Registered Nurse, Nutrition Support
(Licence: TN  102279)
Enumeration Date2021-05-24
Last Update Date2021-05-24
Business Address
ROGER JACKSON
171 NOAH LN
LA FOLLETTE, TN 37766-5575
Phone number: 423-912-5097
Mailing Address
ROGER JACKSON
171 NOAH LN
LA FOLLETTE, TN 37766-5575
Phone number: 423-912-5097