Barbara S Jackson CRNA

NPI 1033301460 - Anesthesiology - 207L00000X

NPI Details
NPI 1033301460
Gender Female
Enumeration Date 08/09/2007
Last Updated 08/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
545 STONECREST PKWY
SMYRNA TN, 37167-6804, US
Phone (931) 551-1795
Fax (931) 551-1798
Business Location
1731 MEMORIAL DR
SUITE 108
CLARKSVILLE TN, 37043-4523, US
Phone (931) 551-1795
Fax (931) 551-1798
Toxanomy
Taxonomy Code 207L00000X
License State Tennessee
License Number RN47576
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According to our database, Barbara S Jackson CRNA NPI is 1033301460, taxonomy code is 207L00000X and license number is RN47576, license state is located at Tennessee. Barbara S Jackson CRNA physically located at 545 Stonecrest Pkwy, Smyrna TN, 37167-6804. NPI Number Barbara S Jackson CRNA has the Individual type.

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1033301460 NPI number is provided on an as is basis without warranty of any kind. 1033301460 is maintained by the National Plan & Provider Enumeration System. The contents of Barbara S Jackson CRNA are for informational purposes only.