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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326566860 NPPES
Tennessee Other 306 ACUPUNCTURE LICENSE
Tennessee MEDICAID 171100000X ACUPUNCTURE LICENSE

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