Jackson, Roger

Jackson, Roger is an sole proprietor health care provider with primary practice located at 171 Noah Ln , La Follette TN 37766-5575. He recently has 6 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Nursing Service Providers / Community Health, Nursing Service Providers / Hospice, Nursing Service Providers / Medical-Surgical, Nursing Service Providers / Nutrition Support, Nursing Service Providers / Home Health. Nursing Service Providers / Home Health is his primary health care specialty. Jackson, Roger can be contacted via phone (423) 912-5097.

Contact Information

Primary practice address
171 Noah Ln La Follette TN 37766-5575
Phone: (423) 912-5097
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 102279 Tennessee
Nursing Service Providers / Community Health 163WC1500X 102279 Tennessee
Nursing Service Providers / Hospice 163WH1000X 102279 Tennessee
Nursing Service Providers / Medical-Surgical 163WM0705X 102279 Tennessee
Nursing Service Providers / Nutrition Support 163WN1003X 102279 Tennessee
Nursing Service Providers / Home Health 163WH0200X 102279 Tennessee

Profile Details

NPI number 1720653629
LBN Legal business name Jackson, Roger
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2021
Last updated May 24th, 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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