JACKSON CLINIC PA NPI 1689443038

NPI Information

  • NPI: 1689443038
  • Provider Name: JACKSON CLINIC PA
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 145 INNOVATION DR
    JACKSON, TN
    ZIP 38305
  • Phone: (731) 422-0213

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NPI Details

JACKSON CLINIC PA is a durable medical equipment medical supplies in Jackson, TN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. JACKSON CLINIC PA NPI is 1689443038. The provider is registered as an organization entity type.

The provider's business location address is:

145 INNOVATION DR
JACKSON, TN
ZIP 38305-019
Phone: (731) 422-0213

The provider's authorized official is Mark Allen .
The authorized official title is C.e.o. and has the following contact phone number (731) 422-0330.

The enumeration date for this NPI number is 12/27/2023 and was last updated on 12/27/2023.

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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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: 11/21/2025

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