PRIMARY CARE - BEMIS LLC NPI 1972141620

NPI Information

  • NPI: 1972141620
  • Provider Name: PRIMARY CARE - BEMIS, LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 1385 S HIGHLAND AVE STE B4
    JACKSON, TN
    ZIP 38301
  • Phone: (731) 300-7755

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NPI Details

PRIMARY CARE - BEMIS, LLC is a family nurse practitioner in Jackson, TN. PRIMARY CARE - BEMIS, LLC NPI is 1972141620. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1385 S HIGHLAND AVE STE B4
JACKSON, TN
ZIP 38301-547
Phone: (731) 300-7755
Fax: (731) 300-0773

The provider's authorized official is Chasity Hornburger .
The authorized official title is Office Admin and has the following contact phone number (731) 300-7755.

The enumeration date for this NPI number is 12/12/2019 and was last updated on 7/29/2025.

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
1363LF0000XNurse PractitionerFamilyYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15441759MEDICAIDTENNESSEE
21316934664MEDICAIDTENNESSEE
31316934664OTHERTENNESSEENPI

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

NPI Synchronization or Removal

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