# JTP ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Family Care Clinic of Sparta
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972852341
- **Authorized official:** JERRY W PERNELL CFNP (CEO)
- **Authorized official phone:** (931) 707-7117

## Contact information

- **Practice address:** 287 TURNTABLE RD., SPARTA, TN 38583
- **Practice address phone:** (931) 738-2000
- **Practice address fax:** (888) 337-7080
- **Mailing address:** 287 TURNTABLE RD., SPARTA, TN 38583
- **Mailing address phone:** (931) 738-2000
- **Mailing address fax:** (888) 337-7080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 7811 | TN | Yes |
| 261QR1300X | Rural Health Clinic/Center | 7811 | TN | — |

## Other

- **Enumeration date:** 08/31/2012
- **Last updated:** 01/23/2014