TAMMY T. JACKSON


Address: 2525 Desales Avenue, Chattanooga, TN 37404
Phone: 4236970014

TAMMY T. JACKSON (NPI# 1497783146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497783146
Entity Type Individual
Full Name TAMMY T. JACKSON
Credential FNP
Practice Address 2525 Desales Avenue
Chattanooga
TN 37404
Mailing Address 725 Glenwood Drive
Suite E-487
Chattanooga
TN 37404
Practice Telephone 4236970014
Practice Fax Number 4236486280
Mailing Telephone 4236970014
Mailing Fax Number 4236486280
Enumeration Date 2006-06-30
Last Update Date 2011-11-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine APN07265 TN Allopathic & Osteopathic Physicians
N 363L00000X Nurse Practitioner APN07265 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 616596673A 05

Other Providers TAMMY JACKSON

NPI Name Taxonomy Address Enumeration
1972767994 Tammy Jackson Behavioral Analyst 556 New Park Ave Ste A, West Hartford, CT 06110-1317 2008-07-18
1619958758 Tammy Lynn Jackson Psychologist 4201 Whispering Creek Dr, College Station, TX 77845-4054 2005-11-07
1467990671 Tammy Jackson Psychologist 376 E Apple Ave, Muskegon, MI 49442-3466 2017-02-08
1538567573 Tammy M Jackson Licensed Practical Nurse 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221-7034 2014-12-08
1235294018 Tammy J Jackson Psychologist 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 2006-12-22
1093736720 Tammy S Jackson Nurse Practitioner 300 20th Ave N, Ste 301, Nashville, TN 37203-2131 2006-07-21
1558345371 Tammy Z Jackson Nurse Practitioner 716 S Main St, Ripley, MS 38663-2909 2005-12-05
1275533366 Tammy L. Jackson Nurse Anesthetist, Certified Registered 110 29th Ave N, Ste 202, Nashville, TN 37203-1401 2005-07-29

Office Location

Street Address 2525 DESALES AVENUE
City CHATTANOOGA
State TN
Zip Code 37404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932192994 David C Bosshardt Internal Medicine 2525 Desales Avenue, Chattanooga, TN 37404 2005-08-25
1831509132 Julia Walker Henry Nurse Practitioner 2525 Desales Avenue, Chattanooga, TN 37404 2014-05-07
1225456288 Aaron Kristoffer Blakeney Internal Medicine 2525 Desales Avenue, Chattanooga, TN 37404 2014-04-06
1609294164 Mark Taylor Jones Internal Medicine 2525 Desales Avenue, Chattanooga, TN 37404 2014-04-02
1023458403 Tennessee Cancer Specialists Internal Medicine 2525 Desales Avenue, Chattanooga, TN 37414-1102 2013-06-28
1831536036 John Jerome Ekong Hospitalist 2525 Desales Avenue, Chattanooga, TN 37404 2013-05-29
1174897821 Robert L. Mcvie Nurse Practitioner 2525 Desales Avenue, Chattanooga, TN 37404 2012-02-28
1144597600 Melinda Ruth Helton Nurse Practitioner 2525 Desales Avenue, Chattanooga, TN 37415 2011-11-28
1689959561 Nicholas J Pons Physician Assistant 2525 Desales Avenue, Chattanooga, TN 37404 2011-10-11
1811283831 James E. Gilbert II Internal Medicine 2525 Desales Avenue, Chattanooga, TN 37404 2011-06-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306494216 Cynthia Caffey Technician 1305 E. 28th St. Apt A, Chatta, TN 37404 2019-09-04
1851944482 Stacey Stokes Peer Specialist 1413 Bailey Ave, Chattanooga, TN 37404 2019-07-23
1306354790 Erlanger Behavioral Health, LLC Psychiatric Hospital 804 North Holtzclaw Avenue, Chattanooga, TN 37404 2018-01-19
1245746171 Davis Supportive Living Home Inc. Custodial Care Facility 1106 Duncan Avenue, Chattanooga, TN 37404 2017-12-14
1124544762 Rachael Anne Maciver Nurse Practitioner 1909 South Willow Street, Chattanooga, TN 37404 2017-08-15
1447796214 Esli Castillo Nurse Practitioner 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 2017-01-17
1922542158 Natasha Elliott Community Health Worker 2804 Cannon Ave, Chattanooga, TN 37404 2016-12-07
1730630153 Jonathan Easter Taxi 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 2016-10-20
1477946143 Thomas Jereme Holcomb Nurse Practitioner 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 2015-03-05
1922426709 Sarah Mccary Baker Internal Medicine 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 2014-03-31
Find all providers in zip 37404

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215468277 Jarrett Woock Emergency Medicine 7402 Lee Hwy, Chattanooga, TN 37421-1405 2017-03-22
1063773521 Shelley L Murphy Emergency Medicine 1018 Blackford Street, Chattanooga, TN 37403 2012-05-31
1831321553 John R Mcgauley Jr. Emergency Medicine 3134 Waterfront Dr, Chattanooga, TN 37419-1535 2009-08-13
1962645812 Jason Christopher Nicely Emergency Medicine 9425 Shadow Point Cir, Chattanooga, TN 37421-5372 2009-04-08
1952580599 Nia Malene Foderingham Emergency Medicine 9029 Jenny Lynn Dr, Chattanooga, TN 37421-4595 2007-10-31
1790988582 Joseph B Sobel Emergency Medicine 1 Cameron Hill Cir, Chattanooga, TN 37402-9815 2007-06-08
1821203357 Joshua Dean Murphy Emergency Medicine 8507 Creek Stone Dr, Chattanooga, TN 37421-2739 2007-05-10
1164510186 Timothy R Todd Emergency Medicine 9216 Royal Mountain Dr, Chattanooga, TN 37421-7405 2006-10-11
1124063177 Robert Anthony Hill Emergency Medicine 3167 Elmendorf Cir, City of Chattanooga Welladvantage Wellness Center, Chattanooga, TN 37406-4004 2006-06-16
1669413415 Susan Leslie Vergot Emergency Medicine 6740 Lee Hwy, Chattanooga, TN 37421-2423 2006-06-10
Find all providers in CHATTANOOGA

Competitor

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City CHATTANOOGA
Zip Code 37404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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