Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAWRENCE RICHARD JACKSON JR., MD
Active Sole ProprietorLAWRENCE RICHARD JACKSON JR., MD is a Family Medicine healthcare provider located in WAVERLY, Tennessee. NPI 1386794816 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WAVERLY, TN
Registration Details
- NPI Number
- 1386794816
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2007 (19.587393621845 yrs)
- Last Updated
- Aug 7, 2023
- Licenses
-
20215 (TN)MD0000020215 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 HILLWOOD DRWAVERLY, TN, 371852116Browse TN providers · Browse ZIP 37185
- Phone
- 9312963555
- Fax
- 9312969085
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in WAVERLY, TN
| Name | Credential | NPI |
|---|---|---|
| MRS. KAREN MICHELLE DIXON | FNP-C | 1992569206 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.