MR. Otis Jackson JR.

  • NPI 1053710681
According to our database, the NPI number for MR. Otis Jackson JR. is 1053710681 and activated since 9 years ago. MR. Otis Jackson JR. is an individual provider who specializes in Adult Development & Aging, and the primary practice location is 3311 Kimball Ave, Memphis, TN 38111. You can also contact MR. Otis Jackson JR. via telephone number is (901) 207-4662. Provider NPI information was last updated on 08/20/2014.

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Overview of MR. Otis Jackson JR.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/20/2014
  • Last updated: 08/20/2014

Primary Scrop of Practice

  • Taxonomy Code: 103TA0700X
  • Specialty: Adult Development & Aging
  • License Number: 1000000015105
  • License State: TN

Provider Mailing Address

  • Address: 1092 Center Ridge Rd
    Collierville, TN 38017
  • Phone: 901-870-6847
  • Fax: 901-854-9779

Provider Practice Location

  • Address: 3311 Kimball Ave
    Memphis, TN 38111
  • Phone: 901-207-4662
  • Fax:

Scope of Practice

  • Taxonomy Code: 103TA0700X
  • Specialty: Adult Development & Aging
  • License Number: 1000000015
  • License State: TN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Otis Jackson JR.?
  • A: The npi number for MR. Otis Jackson JR. is 1053710681.
  • Q: What are MR. Otis Jackson JR.'s specialties?
  • A: MR. Otis Jackson JR.'s specialties are Adult Development & Aging and different specialities.
  • Q: What is the medical license for MR. Otis Jackson JR.?
  • A: The medical license number for MR. Otis Jackson JR. is 1000000015105 and issued in TN in USA.
  • Q: Where is MR. Otis Jackson JR. practice location?
  • A: MR. Otis Jackson JR. is practicing at 3311 Kimball Ave, Memphis, TN 38111.
  • Q: How to contact MR. Otis Jackson JR.?
  • A: You can contact MR. Otis Jackson JR. via 901-207-4662.
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