Alyssa Jackson, OD

NPI #1174053433 in Clarksville, Tennessee

Provider Information

NPI Number: 1174053433
Entity Type: Individual
Name: Alyssa Jackson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 19, 2017
Last Updated: Feb 13, 2020

Practice Location

Address: 3929 LAMAR DR
City: Clarksville
State: Tennessee
ZIP Code: 37040-3704
Phone: (931) 245-3979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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