DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. TINA LOUISE JACKSON MD

MEDICARE: MRS. TINA LOUISE JACKSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician61207TN

General Provider Information

NPI Number : 1801015821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TINA LOUISE JACKSON MD
Provider Business Mailing Address
First Line : 240 W TYRONE RD RM 714
Second Line :
City : OAK RIDGE
State : TN
Zip : 37830-6517
Country : US
Telephone Number : 865-482-1076
Fax Number :
Provider Business Practice Location Address
First Line : 224 OLD MILL RD
Second Line :
City : WARTBURG
State : TN
Zip : 37887-4163
Country : US
Telephone Number : 423-346-6221
Fax Number : 423-346-3447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 05/14/2021

Similar Medicare Providers

1487642625 — DR. BENJAMIN R HOWARD D.D.S.
Practice Location Address:
224 OLD MILL RD
WARTBURG, TN
37887-4163
Practice Phone: 423-346-6660
Practice Fax:
1710916382 — LESLIE L EL-SAYAD NP
Practice Location Address:
224 OLD MILL RD
WARTBURG, TN
37887-4163
Practice Phone: 423-346-6221
Practice Fax: 423-346-5565
1225295264 — TLC MEDICAL OXYGEN & HOSPITAL EQUIPMENT INC
Practice Location Address:
224 OLD MILL RD
WARTBURG, TN
37887-4163
Practice Phone: 423-346-8222
Practice Fax: 423-346-8230
1831409168 — REBECCA KELLY CARDONA LPC-MHSP, PHD
Practice Location Address:
224 OLD MILL RD
WARTBURG, TN
37887-4163
Practice Phone: 423-346-6221
Practice Fax: 423-346-3447
1891088381 — NOAY RESPIRATORY, LLC
Practice Location Address:
224 OLD MILL RD
WARTBURG, TN
37887-4163
Practice Phone: 423-346-8222
Practice Fax: 423-346-8230
1164766937 — TARRANT MEHCOLE MCCARLEY FNP
Practice Location Address:
224 OLD MILL RD
WARTBURG, TN
37887-4163
Practice Phone: 423-346-6221
Practice Fax: 423-346-5565

Directions to “ MRS. TINA LOUISE JACKSON MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.