IndividualActive
Alfred Jackson, MD
NPI 1609189695 · Family Medicine Physician · Knoxville, TN
Provider details
- NPI number
- 1609189695
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 50821 (TN)
Practice location
930 Adell Ree Park Ln
Knoxville, TN 37909-2543
Phone: (865) 769-2600
Mailing address
930 Adell Ree Park Ln
Knoxville, TN 37909-2543
Registry dates
- Enumerated
- 2010-07-19
- Last updated
- 2023-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.