MR. OTIS JACKSON JR.
Psychologist - Adult Development & Aging
Active
Individual
NPI: 1053710681
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Adult Development & Aging | 103TA0700X | Yes | 1000000015105 (TN) |
Frequently Asked Questions
NPI 1053710681 is the National Provider Identifier for MR. OTIS JACKSON JR., a Psychologist - Adult Development & Aging provider located in Memphis, TN. This NPI was enumerated on August 20, 2014.
MR. OTIS JACKSON JR. practices at 3311 KIMBALL AVE, Memphis, TN 38111.
Quick Facts
- NPI
- 1053710681
- Type
- Individual
- Enumerated
- Aug 20, 2014
- Last Updated
- Aug 20, 2014
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