Brent Jackson, is a
Dietitian, Registered based in Baxter, Tennessee. Brent Jackson is licensed to practice in Tennessee (license number 4614) and his current practice location is
7884 Platinum Cir, Baxter, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(615) 584-1370.
NPI number for Brent Jackson is 1053228353 and his current mailing address is 7884 Platinum Cir, Baxter, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053228353.
Healthcare Provider's Profile
| Full Name | Brent Jackson |
|---|
| Gender | Male |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 7884 Platinum Cir, Baxter, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053228353
- Provider Enumeration Date: 08/25/2026
- Last Update Date: 08/25/2026
Medical Identifiers
Medical identifiers for Brent Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053228353 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 4614 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brent Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Brent Jackson, 7884 Platinum Cir, Baxter, TN 38544-1000 Ph: Not Available | Brent Jackson, 7884 Platinum Cir, Baxter, TN 38544-1000 Ph: (615) 584-1370 |
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