Kathy M O'connor-wray (NPI# 1528241999, PAC ID# 5193971174) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1528241999 |
PAC ID by PECOS | 5193971174 |
Professional Enrollment ID | I20120807000349 |
Full Name | Kathy M O'connor-wray |
Organization Legal Name | PRIMARY CARE CLINIC OF JACKSON |
Address |
1430 Union University Dr Suite B Jackson TN 38305-0001 |
Phone Number | 7312656197 |
Gender | F |
Graduation Year | 2006 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 6901173657 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440002 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1430 Union University Dr, Suite B, Jackson, TN 38305-0001 | 7312656197 | PRIMARY CARE CLINIC OF JACKSON |
Organization Legal Name | PRIMARY CARE CLINIC OF JACKSON |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Deborah Leggett | Nurse Practitioner | Primary Care Clinic of Jackson | 45 Hurt St, Trezevant, TN 38258-2505 |
Tammy M Griffis | Nurse Practitioner | Primary Care Clinic of Jackson | 1430 Union University Dr, Suite B, Jackson, TN 38305-0001 |
Street Address |
1430 UNION UNIVERSITY DR SUITE B |
City | JACKSON |
State | TN |
Zip | 38305-0001 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tammy M Griffis | Nurse Practitioner | Primary Care Clinic of Jackson | 1430 Union University Dr, Suite B, Jackson, TN 38305-0001 |
Name | Specialty | Organization | Address |
---|---|---|---|
David Pickering | Psychologist, Clinical | 367 B N Pkwy, Suite 1, Jackson, TN 38305 | |
Rebecca Ann Hamilton | Nurse Practitioner | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
Elizabeth S Londino | Family Medicine | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
Marion J Scott | Nurse Practitioner | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
Timothy W Hayden | Family Medicine | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
Diane H Wright | Clinical Social Worker | Starting Place LLC | 180 W University Pkwy H, Jackson, TN 38305-1612 |
Richard Murphy Spring | Psychologist, Clinical | 156 W University Pkwy, Suite B, Jackson, TN 38305-1617 | |
Steven Anthony Sopcak | Chiropractic | 156 W University Pkwy, Suite A, Jackson, TN 38305-1617 | |
Rex W Fowler | Chiropractic | 156 W University Pkwy, Suite A, Jackson, TN 38305-1617 | |
Trina E Ryan | Nurse Practitioner | Family Care Walk In Clinic, Inc. | 176 W University Pkwy C, Jackson, TN 38305-1618 |
Find all physicians in zip 38305 |
City | JACKSON |
Zip Code | 38305 |
Specialty | NURSE PRACTITIONER |
City + Specialty | JACKSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kathy M O'connor-wray.
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.