Provider Demographics
NPI:1215720602
Name:JACKSON, JEFFREY BRETT (PHARMD,BSPHARMSCI,BS)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:BRETT
Last Name:JACKSON
Suffix:
Gender:M
Credentials:PHARMD,BSPHARMSCI,BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 LOTHRIC WAY APT 4212
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2228
Mailing Address - Country:US
Mailing Address - Phone:615-995-5480
Mailing Address - Fax:
Practice Address - Street 1:2006 MEDICAL CENTER PKWY
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3186
Practice Address - Country:US
Practice Address - Phone:615-896-2768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN48028183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist