Tawanna Jackson

NPI #1619121365 in Dallas, Texas

Provider Information

NPI Number: 1619121365
Entity Type: Individual
Name: Tawanna Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Health Educator
Enumeration Date: Nov 7, 2008
Last Updated: Nov 13, 2014

Practice Location

Address: 3824 CEDAR SPRINGS RD
City: Dallas
State: Texas
ZIP Code: 75219-4136
Phone: (214) 555-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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