DR. BRYAN PAUL JETT (NPI# 1619272655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619272655 |
| Entity Type | Individual |
| Full Name | DR. BRYAN PAUL JETT |
| Credential | PHARM.D., BCPS |
| Practice Address |
180 Old Hickory Blvd Jackson TN 38305-2562 |
| Mailing Address |
1030 Jefferson Ave Memphis TN 38104-2127 |
| Practice Telephone | 7316612750 |
| Practice Fax Number | 7316646817 |
| Mailing Telephone | 9015238990 |
| Mailing Fax Number | 7316646817 |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0000033763 | TN | Pharmacy Service Providers |
| Street Address |
180 OLD HICKORY BLVD |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205072436 | Memphis Vamc | Clinic/Center | 180 Old Hickory Blvd, Suite A, Jackson, TN 38305-2562 | 2008-12-17 |
| 1760990154 | Emily Rose Hood | Dietitian, Registered | 180 Old Hickory Blvd, Jackson, TN 38305-2562 | 2018-01-19 |
| 1780006718 | Stephanie Robinson | Dietitian, Registered | 180 Old Hickory Blvd, Jackson, TN 38305-2562 | 2014-01-10 |
| 1740534767 | Amy Patrice Jones | Social Worker | 180 Old Hickory Blvd, Jackson, TN 38305-2562 | 2012-10-29 |
| 1154674208 | Jessica Strickland | Dietitian, Registered | 180 Old Hickory Blvd, Jackson, TN 38305-2562 | 2012-10-25 |
| 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 Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198071 | Sharon Lynn Nations | Pharmacist | 540 Jett Drive, Pharmacy, Jackson, KY 41339-9622 | 2020-06-11 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1598084618 | Wanda J Keahey | Pharmacist | 3029 Lilly St, Jackson, MS 39213-7246 | 2010-05-28 |
| 1215549423 | Brittney Leeann Williams | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-19 |
| 1033729918 | Ashley Michelle Williams | Pharmacist | 4910 I 55 N, Jackson, MS 39211-5401 | 2020-08-05 |
| 1336757020 | Stephanie Balsman | Pharmacist | N168w21330 Main St, Jackson, WI 53037-9636 | 2020-07-19 |
| 1356988901 | Stephen O'neal | Pharmacist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2019-12-03 |
| 1376180190 | Matthew Gregory Benz | Pharmacist | 1100 W Argyle St, Jackson, MI 49202-2059 | 2019-12-01 |
| 1659939759 | Charlotte Whitney White | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2019-06-03 |
| 1518328913 | Angela Renee Hamilton | Pharmacist | 1500 E Woodrow Wilson Ave, Inpatient Pharmacy - Clinical Services, Jackson, MS 39216-5116 | 2016-03-11 |
| Find all providers in JACKSON | ||||
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| 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.