TINA LUM


Address: 616 W Forest Ave, Jackson, TN 38301-3902
Phone: 7315743000

TINA LUM (NPI# 1588180806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588180806
Entity Type Individual
Full Name TINA LUM
Credential NP
Practice Address 616 W Forest Ave
Jackson
TN 38301-3902
Mailing Address 587 Skyline Dr
Jackson
TN 38301-3938
Practice Telephone 7315743000
Enumeration Date 2017-08-17
Last Update Date 2017-08-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner APN0000022045 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 616 W FOREST AVE
City JACKSON
State TN
Zip Code 38301-3902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306831425 James R Appleton Jr. Urology 616 W Forest Ave, Jackson, TN 38301-3902 2005-09-14
1356891451 West Tennessee Rehabilitation Hospital, LLC Rehabilitation Hospital 616 W Forest Ave, Jackson, TN 38301-3902 2016-10-12
1134455850 Nekayeh Pennington Carothers Nurse Practitioner 616 W Forest Ave, Jackson, TN 38301-3902 2009-10-30
1316125024 Laura Ashley Ermenc Anesthesiology 616 W Forest Ave, Jackson, TN 38301-3902 2008-02-05
1760541817 Sabrina Elizabeth Harper Pharmacy Technician 616 W Forest Ave, Jackson, TN 38301-3902 2006-12-06
1871686261 Julian Bruce Hinton Jr. Pharmacist 616 W Forest Ave, Jackson, TN 38301-3902 2006-09-30
1376647545 Jackson Clinic Pa Clinical Medical Laboratory 616 W Forest Ave, Jackson, TN 38301-3902 2006-09-11
1477668416 Jackson Clinic Pharmacy Inc Pharmacy 616 W Forest Ave, Jackson, TN 38301-3902 2006-08-20
1346284379 Benny Loyd Harper Physical Therapist 616 W Forest Ave, Jackson, TN 38301-3902 2006-06-16
1548221781 G. Baker Hubbard Ambulatory Surgery Center Clinic/Center 616 W Forest Ave, Jackson, TN 38301-3902 2006-03-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124634696 Lindsey Crowder Social Worker 127 Mccowat Street, Jackson, TN 38301 2020-09-21
1366928087 Primary Care - South Limited Clinic/Center 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 2018-07-16
1629592522 Tlc Home Care Services, LLC In Home Supportive Care 39 Old Denmark Rd, Jackson, TN 38301 2017-08-01
1841730421 Southern Hands Quality Care In Home Supportive Care 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 2017-03-02
1881044477 Katie Mcmickin Counselor 163 Sunnyside Dr, Jackson, TN 38301 2016-06-15
1164815064 Hailey Archer Dietitian, Registered 720 W. Forest Ave., Jackson, TN 38301 2015-03-17
1740673714 Regina Tignor Nurse Practitioner 1410 Us Highway 70 Byp, Jackson, TN 38301 2015-03-13
1194114033 Woman's Clinic Obstetrics & Gynecology 242 Coatsland, Jackson, TN 38301 2015-01-15
1659797702 Worthy Walker Arrington Nurse Practitioner 720 West Forest Avenue, Jackson, TN 38301 2014-03-13
1669717302 Lift Wellness Inc General Practice 101 Jackson Walk Plaza, Jackson, TN 38301 2012-12-06
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093332546 Jaleesa Atkins Nurse Practitioner 4266 Springbrook Rd, Jackson, MI 49201-9716 2020-07-01
1457983785 Amos N Macharia Nurse Practitioner 2130 Ridge Rd, Jackson, MO 63755-1612 2020-02-05
1649819590 George Cavett Jr. Nurse Practitioner 2450 Twisted Oak Dr, Jackson, MS 39212-2137 2019-12-24
1851934723 Hannah Louise Keel Nurse Practitioner 623 Gettysburg Dr, Jackson, TN 38305-7886 2019-10-23
1013559186 Kirsten Siler Nurse Practitioner 27a Medical Center Drive, Jackson, TN 38301-3949 2019-10-10
1801447693 Milestone Primary Care House Calls, LLC Nurse Practitioner 5260 Cedar Park Dr Ste E, Jackson, MS 39206-4131 2019-09-24
1750855870 Michael L Chesney Nurse Practitioner 6055 Jordan Rd, Jackson, MI 49201-9580 2019-01-12
1609356500 Angela Sophia Mcreynolds Nurse Practitioner 2500 N State St Rm S347, Jackson, MS 39216-4500 2018-08-20
1679050132 Alicia Faye Green Nurse Practitioner 908 Bella Vista Dr, Jackson, MO 63755-7863 2018-07-26
1982119228 Felix Taylor Nurse Practitioner 514 E Woodrow Wilson Ave Ste B, Jackson, MS 39216-4538 2017-12-08
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Competitor

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City JACKSON
Zip Code 38301

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Dataset Information

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.

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