OrganizationActive
Acne & Rosacea Clinics
NPI 1356593545 · Family Nurse Practitioner · Jackson, TN
Provider details
- NPI number
- 1356593545
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Mary Beth Cox, Owner
- License
- APN8135 (TN)
Practice location
907 Vann Drive Suite M
Jackson, TN 38305-6046
Phone: (731) 668-5000
Fax: (731) 668-5122
Mailing address
907 Vann Drive Ste M
Jackson, TN 38012-6046
Registry dates
- Enumerated
- 2008-10-21
- Last updated
- 2008-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.