DR. Richard Evan Jackson, MD
NPI #1457359770 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1457359770
- Entity Type
- Individual
- Name
- DR. Richard Evan Jackson, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Credential
- MD
- Enumeration Date
- Jul 11, 2005
- Last Updated
- Jul 17, 2014
Practice Location
- Address
- 106 PINNACLE DR
- Address 2
- SUITE 107
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37615-6602
- Phone
- (423) 328-7332
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Psychiatry & Neurology - Addiction Medicine — Addiction Medicine |
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