Bulk check

Brett Jackson, FNP

Nurse Practitioner in Tullahoma, TN. Individual provider (NPI-1).

NPI number1669941290
StatusActive
Last updated in NPPESFeb 20, 2024

Details

NPI
1669941290
Entity type
Individual (NPI-1)
Name
Brett Jackson
Credential
FNP
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 13, 2018
Certification date
Feb 20, 2024
Last updated
Feb 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner25168TNYes
363LF0000X Nurse Practitioner, Family25168TN

Practice location

215 S Anderson St
Tullahoma, TN 37388-3735

Phone 931-563-7464 · Fax 931-563-7401

Mailing address

Po Box 326
Winchester, TN 37398-0326

Phone 931-563-7464 · Fax 931-563-7401

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner providers in Tullahoma, TN

All 18 Nurse Practitioner providers in Tullahoma · All 812 providers in Tullahoma

Checking a whole list?

Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check