Kathy M O'connor-wray
PRIMARY CARE CLINIC OF JACKSON


Address: 1430 Union University Dr, Suite B, Jackson, TN 38305-0001
Phone: 7312656197

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
440002 JACKSON-MADISON COUNTY GENERAL HOSPITAL

Other Locations

Address Phone Organization
1430 Union University Dr, Suite B, Jackson, TN 38305-0001 7312656197 PRIMARY CARE CLINIC OF JACKSON

Organization Information

Organization Legal Name PRIMARY CARE CLINIC OF JACKSON
Physicians 3

Physicians with the same organization

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

Office Location

Street Address 1430 UNION UNIVERSITY DR
SUITE B
City JACKSON
State TN
Zip 38305-0001

Physicians in the same location

Name Specialty Organization Address
Tammy M Griffis Nurse Practitioner Primary Care Clinic of Jackson 1430 Union University Dr, Suite B, Jackson, TN 38305-0001

Physicians in the same zip code

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

Competitor

Search similar physicians

City JACKSON
Zip Code 38305
Specialty NURSE PRACTITIONER
City + Specialty JACKSON + NURSE PRACTITIONER

Improve Information

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Dataset Information

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.

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