TIERRA JACKSON, TATTOO LICENSE
Rehabilitation Practitioner
Active
Individual
NPI: 1366267627
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes | 2021043963 (MO) |
| Technician, Other | 247200000X | No | 2021043963 (MO) |
Frequently Asked Questions
NPI 1366267627 is the National Provider Identifier for TIERRA JACKSON, TATTOO LICENSE, a Rehabilitation Practitioner provider located in Springfield, MO. This NPI was enumerated on November 20, 2024.
TIERRA JACKSON, TATTOO LICENSE practices at 3322 S CAMPBELL AVE # X, Springfield, MO 65807.
Quick Facts
- NPI
- 1366267627
- Type
- Individual
- Enumerated
- Nov 20, 2024
- Last Updated
- Nov 20, 2024
Nearby Providers
-
MICHELLE SCHUSTER, CRNA
Nurse Anesthetist, Certified Registered
-
DR. THOMAS MEYER, DDS
Dentist - General Practice
-
DR. RICHARD MOIST, DDS
Dentist - Endodontics
-
DR. BRIAN DRAPER, D.O.
Surgery
-
ASHTON BERNSKOETTER
Speech-Language Pathologist