Provider Demographics
NPI:1083227813
Name:JACKSON, BRITTNEY (MSSW)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:JACKSON
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 PROFESSIONAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-2168
Mailing Address - Country:US
Mailing Address - Phone:615-856-0531
Mailing Address - Fax:
Practice Address - Street 1:500 PROFESSIONAL PARK DR
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-2168
Practice Address - Country:US
Practice Address - Phone:615-856-0531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker