JACKSON UROLOGICAL ASSOCIATES P.C. NPI 1770566986

NPI Information

JACKSON UROLOGICAL ASSOCIATES, P.C. is an urology in Jackson, TN. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. JACKSON UROLOGICAL ASSOCIATES, P.C. NPI is 1770566986. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

28 MEDICAL CENTER DR
JACKSON, TN
ZIP 38301-947
Phone: (731) 427-9971
Fax: (731) 424-2052

The provider's authorized official is Mary Helen Cepparulo .
The authorized official title is Office Manager and has the following contact phone number (731) 427-9971.

The CLIA number assigned to this NPI record is 44D0315452 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/22/2005 and was last updated on 3/27/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.