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Contact Information

DEBRA JACKS
PRIMECARE 854 W JAMES M CAMPBELL BLVD
STE 301
COLUMBIA, TN38401
 Phone: 931-334-5985
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for DEBRA JACKS · (Female)

NPI Number 1770611709
Status Active
Credentials
Entity Individual
Enumeration date 03/01/2007
Last updated 03/26/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • TN License # 0000005246
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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