Family Clinic At The Lake Pllc
LBN: Family Clinic At The Lake Pllc
Family Clinic At The Lake Pllc is an health care organization with primary practice located at 11268 Highway 57 , Counce TN 38326-3802. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Family Clinic At The Lake Pllc can be contacted via phone (731) 689-4357, or through Jackson, Ellanikole via phone (731) 689-4357.
Contact Information
Primary practice address
11268 Highway 57
Counce TN 38326-3802
Phone: (731) 689-4357
Fax:
Website:
Authorized official contact:
Name: Jackson, Ellanikole Nurse Practitioner (NP)
Phone: (731) 689-4357
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1578125647 |
|---|---|
| LBN Legal business name | Family Clinic At The Lake Pllc |
| DBA Doing business as | |
| Authorized official | Jackson, Ellanikole Nurse Practitioner (NP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 28th, 2019 |
| Last updated | Oct 14th, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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