Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Michael Jackson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881535417

Mary Michael Jackson, DO is a Student in an Organized Health Care Education/Training Program in Memphis, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2026
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

920 Madison Ave Ste 447
Memphis, TN 38103-3438
Phone: (901) 448-1010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (TN)

Record details

NPI number1881535417
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 6, 2026
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address920 Madison Ave Fl 2, Memphis, TN 38103-3438

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