About Otis Jackson
Otis Jackson is a Adult Development & Aging healthcare provider based in Memphis, Tennessee. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 08/20/2014. The National Provider Identifier (NPI) number assigned to this provider is 1053710681.
No pharmaceutical payment records or Medicare utilization data were found in the CMS databases for this provider. This does not reflect on the quality of care provided.
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Practice Information
- Specialty Adult Development & Aging
- Location Memphis, TN
- Active Since 08/20/2014
- Last Updated 08/20/2014
- Taxonomy Code 103TA0700X
- Entity Type Individual
- NPI Number 1053710681
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.