Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | E-3792 | AR |
Y | 207U00000X | Nuclear Medicine Specialist | MD42620 | TN |
NPI | 1588761456 |
---|---|
Provider Name | Dr. Laurie Beth Jones-Jackson |
First Address | Nashville, TN 37232-0001 |
Second Address | Nashville, TN 37232-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 16/08/2012 |