Family Medical Clinic Of Jackson

LBN: Family Medical Clinic Of Trezevant
Family Medical Clinic Of Jackson is an health care organization with primary practice located at 1022 Greystone Sq , Jackson TN 38305-3580. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Family Medical Clinic Of Trezevant can be contacted via phone (731) 300-2001, or through Leggett, Deborah via phone (731) 300-2001.

Contact Information

Primary practice address
1022 Greystone Sq Jackson TN 38305-3580
Phone: (731) 300-2001
Fax: (731) 240-8095
Website:
Map and Directions
Authorized official contact:
Name: Leggett, Deborah FNP-C
Phone: (731) 300-2001

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1215693171
LBN Legal business name Family Medical Clinic Of Trezevant
DBA Doing business as Family Medical Clinic Of Jackson
Authorized official Leggett, Deborah FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2021
Last updated Apr 15th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215693171 NPPES
Tennessee MEDICAID Q054230

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