Jackson, Jeanice
Jackson, Jeanice is an sole proprietor health care provider with primary practice located at 1581 Farkleberry Dr , Cordova TN 38016-0605. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Jackson, Jeanice can be contacted via phone (901) 754-1774.Contact Information
Primary practice address
1581 Farkleberry Dr
Cordova TN 38016-0605
Phone: (901) 754-1774
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X |
Profile Details
| NPI number | 1427381862 |
|---|---|
| LBN Legal business name | Jackson, Jeanice |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2009 |
| Last updated | Sep 17th, 2009 - about 16 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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