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

Mr. Otis Jackson Jr.

Individual provider Adult Development & Aging Psychologist · NPI 1053710681

Mr. Otis Jackson Jr. is an Adult Development & Aging Psychologist in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2014.

Licensed in
TN
In the registry since
2014

Practice location Address checks out

3311 Kimball Ave
Memphis, TN 38111-3846
Phone: (901) 207-4662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Development & Aging Psychologist (primary) Taxonomy 103TA0700X · Licence 1000000015105 (TN)

Record details

NPI number1053710681
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 20, 2014
Last updated in NPPESAugust 20, 2014

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