| NPI | 1437614633 |
|---|---|
| Doing Business As | JACKSON PURCHASE PRIMARY CARE - CLINTON CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHARLEE LEBLEU Sr Director, Provider Enrollment 615-920-7192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| 207Q00000X Family Medicine | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-06-11 |