NPI 1467837591
Blake Jackson, DC
Practice location
- Address
- 8132 Cordova Rd Suite 102, Cordova, TN 38016-6005
- Phone
- (901) 751-0939
- Fax
- (901) 751-0332
Registered specialties
Chiropractor
Primary
Registry record
- NPI
- 1467837591
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Jul 2015
- Record last updated
- 30 Jul 2015
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.