JACKSON ALLERGY & ASTHMA CLINIC PLLC (NPI# 1295226157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295226157 |
| Entity Type | Organization |
| Organization Name | JACKSON ALLERGY & ASTHMA CLINIC PLLC |
| Practice Address |
464 N Parkway Ste D Jackson TN 38305-2810 |
| Practice Telephone | 7316600138 |
| Practice Fax Number | 7316600133 |
| Mailing Telephone | 7316600138 |
| Mailing Fax Number | 7316600133 |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-05-25 |
| Authorized Official Name | ALAN DEJARNATT (OWNER) |
| Authorized Official Telephone | 7316600138 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| Street Address |
464 N PARKWAY STE D |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689803918 | Patricia Honea Stewart | Allergy & Immunology | 878 Lakeland Dr., Lb-building, Jackson, MS 39216-4500 | 2009-07-08 |
| 1154529709 | Chelle P Wilhelm | Allergy & Immunology | 1513 Lakeland Dr Ste 101, Jackson, MS 39216-4829 | 2007-07-05 |
| 1407955537 | Joshua F Phillips | Allergy & Immunology | 1513 Lakeland Dr., Suite 101, Jackson, MS 39216 | 2006-09-22 |
| 1902882251 | Mississippi Asthma & Allergy Clinic Pa | Allergy & Immunology | 1513 Lakeland Dr, Ste 100, Jackson, MS 39216-4829 | 2005-12-19 |
| 1003892357 | Daniel L Venarske | Allergy & Immunology | 1513 Lakeland Dr., Suite 101, Jackson, MS 39216 | 2005-12-19 |
| 1598750184 | Alan C Dejarnatt | Allergy & Immunology | 464 N Parkway, Suite D, Jackson, TN 38305-2810 | 2005-09-20 |
| 1124315742 | Claire Brabec Rosenblatt | Allergy & Immunology | 1513 Lakeland Dr, Suite 101, Jackson, MS 39216-4829 | 2011-07-03 |
| 1982893939 | University Physicians | Allergy & Immunology | 1410 E Woodrow Wilson Ave, Jackson, MS 39216-5114 | 2007-10-16 |
| 1215159793 | Jackson Asthma & Allergy Center, Pa | Allergy & Immunology | 5903 Ridgewood Road, Suite 430, Jackson, MS 39211-3702 | 2007-05-03 |
| 1548204746 | Stephen F Kemp | Allergy & Immunology | 878 Lakeland Dr, Lb-building, Jackson, MS 39216-4500 | 2006-06-16 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.