DIABETES CENTER OF JACKSON, PLLC is a family nurse practitioner in Jackson, TN. DIABETES CENTER OF JACKSON, PLLC NPI is 1003315524. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2782 N HIGHLAND AVE STE C
JACKSON, TN
ZIP 38305-797
Phone: (731) 602-2778
The provider's authorized official is Tracy D Little .
The authorized official title is Owner and has the following contact phone number (731) 602-2778.
The CLIA number assigned to this NPI record is 44D2144548 - other practitioner with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/10/2018 and was last updated on 3/28/2018.