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1982248779
ETOSHIA JACKSON
MEMPHIS, TN
NPI
1982248779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 26787)
Enumeration Date
2019-11-05
Last Update Date
2019-11-05
Business Address
Mrs. ETOSHIA JACKSON DNP, FNP-C
877 JEFFERSON AVE
MEMPHIS, TN 38103-2807
Phone number: 901-545-6286
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Mailing Address
Mrs. ETOSHIA JACKSON DNP, FNP-C
6208 JOY BLVD S
HORN LAKE, MS 38637-2462
Phone number:
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