Jackson, Evelyn Nicole

Jackson, Evelyn Nicole is an individual health care provider with primary practice located at 1755 Parr Ave , Dyersburg TN 38024-2004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Evelyn Nicole can be contacted via phone (731) 285-7311.

Contact Information

Primary practice address
1755 Parr Ave Dyersburg TN 38024-2004
Phone: (731) 285-7311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23714 Tennessee

Profile Details

NPI number 1568961837
LBN Legal business name Jackson, Evelyn Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2018
Last updated Jun 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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