Brett Jackson (NPI# 1669941290, PAC ID# 1759621857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1669941290 |
PAC ID by PECOS | 1759621857 |
Professional Enrollment ID | I20190328000982 |
Full Name | Brett Jackson |
Address |
106 Westside Dr Tullahoma TN 37388-3280 |
Gender | M |
Graduation Year | 2018 |
Primary Specialty | NURSE PRACTITIONER |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440144 | TENNOVA HEALTHCARE-HARTON |
Address | Phone | Organization |
---|---|---|
106 Westside Dr, Tullahoma, TN 37388-3280 |
Street Address |
106 WESTSIDE DR |
City | TULLAHOMA |
State | TN |
Zip | 37388-3280 |
Name | Specialty | Organization | Address |
---|---|---|---|
Carole C Lane | Internal Medicine | Southeastern Dermatology Group Pa | 106 Westside Dr, Dothan, AL 36303-0106 |
Amanda L Day | Physician Assistant | Southeastern Dermatology Group Pa | 106 Westside Dr, Dothan, AL 36303-0106 |
John A Anderson Iii | Family Medicine | 106 Westside Dr, Tullahoma, TN 37388-3280 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brett L Ferrell | Family Medicine | 100 William N Blvd, Tullahoma, TN 37388 | |
Jonathan M Garrison | Clinical Psychologist | 111133 Tullahoma Hwy, Tullahoma, TN 37388 | |
Mark Roddy Russell | Diagnostic Radiology | Medical Imaging Consultants, PC | 1801 N Jackson St, Tullahoma, TN 37388-2201 |
Robert M Bell | Podiatry | Highland Rim Foot and Ankle Clinic, Pllc | 1948 N Jackson St, Tullahoma, TN 37388-2204 |
Matthew D Murphey | Podiatry | Highland Rim Foot and Ankle Clinic, Pllc | 1948 N Jackson St, Tullahoma, TN 37388-2204 |
Brady Palmer | Optometry | 2111 N Jackson St, Tullahoma, TN 37388-2207 | |
Heather C Bohannon Iyama | Nurse Practitioner | 2120 N Jackson St, Tullahoma, TN 37388-2208 | |
Jennifer A Shetters | Nurse Practitioner | Spectrum Medical Associates | 2106 N Jackson St, Tullahoma, TN 37388-2208 |
William B Bradford | Radiation Oncology | 2114 N Jackson St, Tullahoma, TN 37388-2208 | |
Richard C Cole | Family Medicine | Spectrum Medical Associates | 2106 N Jackson St, Tullahoma, TN 37388-2208 |
Find all physicians in zip 37388 |
City | TULLAHOMA |
Zip Code | 37388 |
Specialty | NURSE PRACTITIONER |
City + Specialty | TULLAHOMA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brett Jackson.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.