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Evelyn Nicole Jackson
Family Nurse Practitioner in Dyersburg, Tennessee
NPI 1568961837

Evelyn Nicole Jackson is a Family Nurse Practitioner based in Martin, TN and is specialized in Family. Evelyn Nicole Jackson practices in Dyersburg, TN. The NPI Number for Evelyn Nicole Jackson is 1568961837 and holds a License No. 23714 (Tennessee).

The current practice location address for Evelyn Nicole Jackson is 1755 Parr Ave, Dyersburg, TN and can be reached out via phone at 731-285-7311.

Location: 1755 Parr Ave, Dyersburg, TN, 38237-5440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568961837
Provider Name
Evelyn Nicole Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1755 Parr Ave, Dyersburg, TN, 38237-5440
Phone Number
731-285-7311
Fax Number
Provider Enumeration Date
02/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1755 Parr Ave
City
Dyersburg
State
Tennessee
Zip
38024-2004
Phone Number
731-285-7311
Fax Number
person
Provider Business Mailing Address Details
Address
1755 Parr Ave
City
Dyersburg
State
Tennessee
Zip
38024-2004
Phone Number
731-285-7311
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
23714 (Tennessee)
Definition
Definition to come...
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