Etoshia Jackson, DNP, FNP-C
Nurse Practitioner, Family in Memphis, TN. Individual provider (NPI-1).
NPI number1982248779
StatusActive
Last updated in NPPESNov 5, 2019
Details
- NPI
- 1982248779
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Etoshia Jackson
- Credential
- DNP, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2019
- Last updated
- Nov 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26787 | TN | Yes |
Practice location
877 Jefferson AveMemphis, TN 38103-2807
Phone 901-545-6286
Mailing address
6208 Joy Blvd SHorn Lake, MS 38637-2462
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