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Felisa Loyd Jackson

Dental Hygienist in Memphis, TN. Individual provider (NPI-1).

NPI number1982243085
StatusActive
Last updated in NPPESJan 6, 2020

Details

NPI
1982243085
Entity type
Individual (NPI-1)
Name
Felisa Loyd Jackson
Sex
Female
Sole proprietor
No
Enumeration date
Jan 6, 2020
Certification date
Jan 6, 2020
Last updated
Jan 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
124Q00000X Dental Hygienist004948TNYes

Practice location

875 Union Ave Rm C402
Memphis, TN 38103-3513

Phone 901-270-4680

Mailing address

875 Union Ave Rm C402
Memphis, TN 38103-3513

Phone 901-270-4680

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