DR. PATRICIA SUZANNE JACKSON (NPI# 1427132422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427132422 |
| Entity Type | Individual |
| Full Name | DR. PATRICIA SUZANNE JACKSON |
| Other Name | MRS. PATRICIA JACKSON FANNIN |
| Credential | M.D. |
| Practice Address |
225 Von Karman Ave Tullahoma Va Clinic Arnold Afb TN 37389 |
| Practice Telephone | 9314546134 |
| Mailing Telephone | 9314546134 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD017814 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104458496 | Patricia A Jackson | Behavior Technician | 10252 S Hwy 441, Unit 3, Belleview, FL 34420 | 2020-02-05 |
| 1003396185 | Patricia Jackson | Licensed Vocational Nurse | 24310 Forest Canopy Dr, Katy, TX 77493-3088 | 2018-08-17 |
| 1023377967 | Patricia Renee Jackson | Dentist | 191 Highway and Hospital Road, Chinle, AZ 86503 | 2012-05-13 |
| 1306059548 | Patricia L Jackson | Home Health Aide | 11379 E Pike Rd, Cambridge, OH 43725-9162 | 2007-05-07 |
| 1902027329 | Patricia Jackson | Physical Therapist | 307 7th St E, Lehigh Acres, FL 33936-3970 | 2007-05-02 |
| 1396888335 | Patricia Ann Jackson | Social Worker | 420 Mink Pl, Abingdon, VA 24210-3426 | 2007-02-15 |
| 1710081823 | Patricia Ann Jackson | Chiropractor | 225 3rd St, Batesville, AR 72501 | 2006-09-11 |
| 1073525150 | Patricia L Jackson | Nurse Practitioner | 1252 N 22nd St Unit A, Laramie, WY 82072-5306 | 2006-08-13 |
| 1376557702 | Patricia L Jackson | Nurse Practitioner | 230 W Catalpa Dr, Suite D, Mishawaka, IN 46545-8321 | 2006-07-28 |
| 1225094154 | Patricia Mcgarvey Jackson | Physician Assistant | 6800 Southpoint Pkwy, Suite 200, Jacksonville, FL 32216-6257 | 2006-04-20 |
| Street Address |
225 VON KARMAN AVE TULLAHOMA VA CLINIC |
| City | ARNOLD AFB |
| State | TN |
| Zip Code | 37389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891125001 | Alexisa M Humphrey | Military Health Care Provider | 225 Von Karman Rd, Bldg 225, Arnold Afb, TN 37389 | 2013-11-25 |
| 1407090517 | Robert Louchery | Military Health Care Provider | 225 Von Karmon, First Street, Arnold Afb, TN 37389 | 2009-04-21 |
| 1275632465 | 96th Medical Support Squadron Sgsl | Military/U.S. Coast Guard Pharmacy | 225 First St Bldg 225, Arnold Afb, TN 37389 | 2006-09-22 |
| 1982700878 | Tija L Mcdaniels | Family Medicine | 225 Von Karman Road, Arnold Air Force Base, TN 37389 | 2006-09-16 |
| 1659535557 | Charles Tessier Iv | Family Medicine | 225 First Ave, Apo, AA 37389-2401 | 2008-07-10 |
| 1649372970 | Cerisia A Cummings | Emergency Medicine | 225 First St, Arnold Air Force Base, TN 37389-2402 | 2006-09-05 |
| 1104837491 | Shawnya York Black | Nurse Practitioner | 225 Von Karmon Road, Arnold Air Force Base, TN 37389-2402 | 2006-08-11 |
| 1326082546 | Nashville Vamc | Clinic/Center | 225 Von Karman Road, Arnold Air Force Base, TN 37389-9998 | 2006-06-16 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768031 | Chanler Korte | Family Medicine | 879 Greenlea Blvd Ste 103, Gallatin, TN 37066-3205 | 2020-10-26 |
| 1538768205 | Winbigler Medical, Pllc | Family Medicine | 1205 Lodge St, Alcoa, TN 37701-2092 | 2020-10-22 |
| 1205434420 | Urgent Care for Children, Pllc | Family Medicine | 5207 Highway 153, Hixson, TN 37343-5894 | 2020-10-09 |
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1336755271 | Maryellen Tipton | Family Medicine | 1489 Touraine Pl, Knoxville, TN 37919-8278 | 2020-09-16 |
| 1144835539 | Memphis Family Care | Family Medicine | 5818 Winchester Rd, Memphis, TN 38115-4711 | 2020-09-11 |
| 1538772868 | Longmire Health Group | Family Medicine | 1331 Union Ave Ste 1024, Memphis, TN 38104-7509 | 2020-08-26 |
| 1023621646 | Access Medical Clinic Tennessee LLC | Family Medicine | 204 Glades Rd, Gatlinburg, TN 37738-5601 | 2020-08-24 |
| 1528671294 | Sarah Willms | Family Medicine | 2309 Crestmoor Rd Ste 200, Nashville, TN 37215-2043 | 2020-08-24 |
| 1265042238 | Better Care Clinic | Family Medicine | 2021 E Andrew Johnson Hwy, Morristown, TN 37814-5409 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | ARNOLD AFB |
| Zip Code | 37389 |
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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.