PREVENTAGENIX LLC NPI 1619386877

NPI Information

NPI: 1619386877
Provider Name: PREVENTAGENIX LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
162 MURRAY GUARD DR
SUITE B
JACKSON, TN
ZIP 38305
Phone: (731) 300-0044
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PREVENTAGENIX LLC is a family nurse practitioner in Jackson, TN. PREVENTAGENIX LLC NPI is 1619386877. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

162 MURRAY GUARD DR
SUITE B
JACKSON, TN
ZIP 38305-609
Phone: (731) 300-0044

The provider's authorized official is Jeffrey W Young .
The authorized official title is Fnp/co-owner and has the following contact phone number (731) 300-0044.

The enumeration date for this NPI number is 8/12/2014 and was last updated on 8/12/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	7239	TENNESSEE	Yes

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: 11/14/2023

NPI Synchronization or Removal

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