Family Care Walk In Clinic, Inc. | |
176 W University Pkwy Ste C Jackson TN 38305-1618 | |
(731) 660-6915 | |
(731) 668-4557 |
Full Name | Family Care Walk In Clinic, Inc. |
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Speciality | Family Medicine |
Location | 176 W University Pkwy Ste C, Jackson, Tennessee |
Authorized Official Name and Position | Jeffrey Beuerlein (OWNER) |
Authorized Official Contact | 7316606915 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Care Walk In Clinic, Inc. 176 W University Pkwy Ste C Jackson TN 38305-1618 Ph: (731) 660-6915 | Family Care Walk In Clinic, Inc. 176 W University Pkwy Ste C Jackson TN 38305-1618 Ph: (731) 660-6915 |
NPI Number | 1457302598 |
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Provider Enumeration Date | 05/13/2006 |
Last Update Date | 06/23/2023 |
Medicare PECOS PAC ID | 6608850722 |
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Medicare Enrollment ID | O20040616000703 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457302598 | NPI | - | NPPES |
3378522 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Betty A Roe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083692164 PECOS PAC ID: 3476532813 Enrollment ID: I20040719000576 |
Provider Name | Jayme L Walker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538297460 PECOS PAC ID: 1355449729 Enrollment ID: I20070607000711 |
Provider Name | Jennifer E Mcfarland |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912114281 PECOS PAC ID: 2365530508 Enrollment ID: I20071121000334 |
Provider Name | Norma B Wood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558532440 PECOS PAC ID: 6507937414 Enrollment ID: I20080620000258 |
Provider Name | Thomas P Norsworthy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790764223 PECOS PAC ID: 8820165467 Enrollment ID: I20081021000533 |
Provider Name | Erin L Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306217856 PECOS PAC ID: 9234449851 Enrollment ID: I20151112000029 |
Provider Name | Chelsey Elizabeth Parks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376113787 PECOS PAC ID: 2163828062 Enrollment ID: I20210901000174 |
Provider Name | Sierra Clary |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255924932 PECOS PAC ID: 1153717855 Enrollment ID: I20220406000455 |
Provider Name | Celena Terri Perry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659036879 PECOS PAC ID: 0648657940 Enrollment ID: I20220506000000 |
Provider Name | Morgan Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922711241 PECOS PAC ID: 9537525126 Enrollment ID: I20240228003598 |
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