| Workcare Resources Inc | |
|
49 Old Hickory Blvd Jackson TN 38305 | |
| (731) 664-4414 | |
| (731) 664-2804 |
| Full Name | Workcare Resources Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 49 Old Hickory Blvd, Jackson, Tennessee |
| Authorized Official Name and Position | Lesa Grace (PRESIDENT) |
| Authorized Official Contact | 7316644414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Workcare Resources Inc 49 Old Hickory Blvd Jackson TN 38305 Ph: (731) 664-4414 | Workcare Resources Inc 49 Old Hickory Blvd Jackson TN 38305 Ph: (731) 664-4414 |
| NPI Number | 1285684837 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 12/01/2014 |
| Medicare PECOS PAC ID | 8022012913 |
|---|---|
| Medicare Enrollment ID | O20060907000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285684837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0268193 (Tennessee) | Primary |
| Provider Name | Amy M Naylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548606338 PECOS PAC ID: 4688814163 Enrollment ID: I20130703000602 |
| Provider Name | Wanda R Beaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396160222 PECOS PAC ID: 3173845773 Enrollment ID: I20141210001928 |
| Provider Name | Angela Dawn Upchurch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275033888 PECOS PAC ID: 8426300385 Enrollment ID: I20181004001531 |
| Provider Name | Stephanie A Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285199802 PECOS PAC ID: 6103169370 Enrollment ID: I20190510001720 |
| Provider Name | Leslie O Dunevant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134973696 PECOS PAC ID: 7113368846 Enrollment ID: I20240513003163 |
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