Jackson, Jamie Lynn
Jackson, Jamie Lynn is an individual health care provider with primary practice located at 6245 Vance Rd Ste 109 , Chattanooga TN 37421-4836. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Jackson, Jamie Lynn can be contacted via phone (303) 328-5869.Contact Information
Primary practice address
6245 Vance Rd Ste 109
Chattanooga TN 37421-4836
Phone: (303) 328-5869
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 306 | Tennessee |
Profile Details
| NPI number | 1326566860 |
|---|---|
| LBN Legal business name | Jackson, Jamie Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2017 |
| Last updated | Sep 5th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326566860 | NPPES |
| Tennessee | Other | 306 | ACUPUNCTURE LICENSE |
| Tennessee | MEDICAID | 171100000X | ACUPUNCTURE LICENSE |
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