Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROGER JACKSON
Active Sole ProprietorROGER JACKSON is a Home Health Nurse healthcare provider located in LA FOLLETTE, Tennessee. NPI 1720653629 is currently active in the NPPES registry. Verify at CMS.
Home Health Nurse · LA FOLLETTE, TN
Registration Details
- NPI Number
- 1720653629
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2021 (5.2520276216559 yrs)
- Last Updated
- May 24, 2021
- Licenses
-
102279 (TN)102279 (TN)102279 (TN)102279 (TN)102279 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
171 NOAH LNLA FOLLETTE, TN, 377665575Browse TN providers · Browse ZIP 37766
- Phone
- 4239125097
- Primary Specialty
-
Home Health Nurse
163WH0200X
- Additional Specialty
- Community Health Nurse
- Additional Specialty
- Hospice Nurse
- Additional Specialty
- Medical-Surgical Nurse
- Additional Specialty
- Nutrition Support Nurse
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.