MRS. Tamara Jean Jackson, LMT

NPI #1043542236 in Wewahitchka, Florida

Provider Information

NPI Number: 1043542236
Entity Type: Individual
Name: MRS. Tamara Jean Jackson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: LMT
Enumeration Date: Feb 12, 2010
Last Updated: Feb 12, 2010

Practice Location

Address: 350 HENRY AVE
City: Wewahitchka
State: Florida
ZIP Code: 32465-8766
Phone: (850) 639-6211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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