PRIMARY CARE CLINIC OF JACKSON


Address: 54 Exeter Rd Ste B, Jackson, TN 38305-1985
Phone: 7319359463

PRIMARY CARE CLINIC OF JACKSON (NPI# 1609309855) 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) 1609309855
Entity Type Organization
Organization Name PRIMARY CARE CLINIC OF JACKSON
Practice Address 54 Exeter Rd Ste B
Jackson
TN 38305-1985
Practice Telephone 7319359463
Mailing Telephone 7312656197
Mailing Fax Number 7312656198
Enumeration Date 2017-04-05
Last Update Date 2020-01-27
Authorized Official Name MRS. KATHY O'CONNOR-WRAY (OWNER)
Authorized Official Telephone 7312253639
Authorized Official Credential FNP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 000896897 TN Ambulatory Health Care Facilities

Office Location

Street Address 54 EXETER RD STE B
City JACKSON
State TN
Zip Code 38305-1985

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891330817 Nichcole Rau Nurse Practitioner 54 Exeter Rd Ste B, Jackson, TN 38305-1985 2019-11-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427656818 Kimaya Jelks Specialist 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 2020-10-16
1821600578 Maame Obeng Pharmacist 3144 North Highland Avenue, Jackson, TN 38305 2020-08-22
1700361904 James Cowie Psychologist 156c West University Pkwy, Jackson, TN 38305 2018-10-03
1700372109 Chad Zawacki Physician Assistant 147 North Star Drive, Jackson, TN 38305 2018-07-09
1104323070 Golden Years Adult Day Care Clinic/Center 155 Carriage Dr Suite A, Jackson, TN 38305 2018-04-09
1245754563 Tanika Annette Gillard Massage Therapist 4 Hampton Ln, Jackson, TN 38305 2017-07-28
1316488117 Lakisha T Ingram Counselor 168 Greencastle Dr, Jackson, TN 38305 2017-03-13
1619421567 D & L Wellness Inc Community/Behavioral Health 154 Carriage House Dr., Jackson, TN 38305 2016-08-09
1649637638 Advance Choice Home Care LLC In Home Supportive Care 1028 Ashport Rd., Jackson, TN 38305 2016-01-21
1942666151 Neurohealth Solutions Inc. Clinic/Center 174 Murray Guard Dr. Suite E, Jackson, TN 38305 2016-01-05
Find all providers in zip 38305

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972150084 Wound Management Specialists, LLC Clinic/Center 1190 N State St Ste 2a, Jackson, MS 39202-2413 2019-08-22
1700449329 Cycle 8 Health Care, LLC Clinic/Center 2310 Highway 80 W Ste 2260, Jackson, MS 39204-2383 2019-04-18
1093286544 East Endocrine and Metabolism Pllc Clinic/Center 3829 Greentree Pl, Jackson, MS 39211-6737 2018-12-10
1760965206 Hunter Assets Holding LLC Clinic/Center 1035 W Mayes St, Jackson, MS 39213-6100 2018-09-11
1235634759 W A Foote Memorial Hospital Inc Clinic/Center 2200 Springport Rd Ste 230, Jackson, MI 49202-1432 2018-03-27
1336644897 W A Foote Memorial Hospital Inc Clinic/Center 3305 Spring Arbor Rd Ste 500, Jackson, MI 49203-3795 2018-03-27
1730684580 W. A. Foote Memorial Hospital, Inc. Clinic/Center 2200 Springport Rd Ste 210, Jackson, MI 49202-1432 2018-03-26
1164927844 W. A. Foote Memorial Hospital, Inc. Clinic/Center 2200 Springport Rd Ste 800, Jackson, MI 49202-1432 2018-03-26
1225532120 Robert Greer Do, LLC Clinic/Center 5345 Farnsworth Dr, Jackson, MS 39211-4604 2018-03-23
1447761713 Celestial Health Creations Clinic/Center 7 Lakeland Cir Ste 300, Jackson, MS 39216-5022 2017-10-13
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 38305

Improve Information

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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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