NPI 1346010717

Jennifer Jo Jackson, CNA

Practitioner Nurse's Aide Humboldt, TN

Practice location

Address: 2865 E Main St, Humboldt, TN 38343-3070
Phone: (731) 377-5525
Mailing address: 814 Tipton Ave, Dyersburg, TN 38024-3328

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 00115287 (TN)

Other Nurse's Aide providers in Tennessee →

Registry record

NPI: 1346010717
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jan 2024
Record last updated: 5 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.