Jackson, Marisha

Jackson, Marisha is an individual health care provider with primary practice located at 1261 Kenmore Pl , Nashville TN 37216-3214. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jackson, Marisha can be contacted via phone (615) 801-3495.

Contact Information

Primary practice address
1261 Kenmore Pl Nashville TN 37216-3214
Phone: (615) 801-3495
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Tennessee

Profile Details

NPI number 1144608977
LBN Legal business name Jackson, Marisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2015
Last updated May 13th, 2015 - about 11 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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