SHANNON JACKSON

KNOXVILLE, TN
NPI1972076875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  124643)
Enumeration Date2019-01-03
Last Update Date2021-04-12
Business Address
SHANNON JACKSON CRNA
1901 CLINCH AVE
KNOXVILLE, TN 37916-2307
Phone number: 865-541-1111
Mailing Address
SHANNON JACKSON CRNA
500 MOUNTAIN PASS LN
KNOXVILLE, TN 37923-5723
Phone number: 615-351-7608
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