Shannon, Jackson Lane

Shannon, Jackson Lane is an sole proprietor health care provider with primary practice located at 132 E Broadway Blvd , Jefferson City TN 37760-2535. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Shannon, Jackson Lane can be contacted via phone (865) 471-0548.

Contact Information

Primary practice address
132 E Broadway Blvd Jefferson City TN 37760-2535
Phone: (865) 471-0548
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 45317 Tennessee

Profile Details

NPI number 1285307835
LBN Legal business name Shannon, Jackson Lane
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2021
Last updated Jul 29th, 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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