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

Tamra Lee Jackson

Individual provider Clinical Social Worker · NPI 1457076481

Tamra Lee Jackson is a Clinical Social Worker in Farmington, Missouri. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1085 Maple St
Farmington, MO 63640-1955
Phone: (573) 756-5353
Fax: (573) 756-4557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1457076481
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 12, 2022
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022
Mailing address1430 Olive St Ste 400, Saint Louis, MO 63103-2303

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