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JACKSON-RANDLE FAMILY HEALTHCARE P.L.C. NPI 1578766259


NPI Information

NPI: 1578766259
Provider Name: JACKSON-RANDLE FAMILY HEALTHCARE, P.L.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5142 STAGE RD
SUITE 100
MEMPHIS, TN
ZIP 38134
Phone: (901) 382-2040
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JACKSON-RANDLE FAMILY HEALTHCARE, P.L.C. is a family medicine in Memphis, TN. The provider is 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. JACKSON-RANDLE FAMILY HEALTHCARE, P.L.C. NPI is 1578766259. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5142 STAGE RD
SUITE 100
MEMPHIS, TN
ZIP 38134-164
Phone: (901) 382-2040
Fax: (901) 386-5242

The provider's authorized official is Yvette Randle .
The authorized official title is Owner and has the following contact phone number (901) 382-2040.

The enumeration date for this NPI number is 6/8/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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