# HOMETOWN FAMILY MEDICAL CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154763134
- **Authorized official:** MS. CONNIE SUE LEE FNP (PARTNER)
- **Authorized official phone:** (931) 879-8794

## Contact information

- **Practice address:** 418 B WEST CENTRAL AVENUE, JAMESTOWN, TN 38556
- **Practice address phone:** (931) 879-8794
- **Practice address fax:** (931) 879-8887
- **Mailing address:** PO BOX 950, JAMESTOWN, TN 38556-0950
- **Mailing address phone:** (931) 879-8794
- **Mailing address fax:** (931) 879-8887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | APN0000015369 | TN | — |

## Other

- **Enumeration date:** 07/19/2013
- **Last updated:** 07/10/2025