Jackson, Chantella

Jackson, Chantella is an individual health care provider with primary practice located at 330 Pageant Ln , Clarksville TN 37040-3854. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Jackson, Chantella can be contacted via phone (931) 648-5747.

Contact Information

Primary practice address
330 Pageant Ln Clarksville TN 37040-3854
Phone: (931) 648-5747
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X RN000189701 Tennessee

Profile Details

NPI number 1639533003
LBN Legal business name Jackson, Chantella
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2016
Last updated Apr 11th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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