Organization
PRIMARY CARE CLINIC OF JACKSON
Active
Organization
PRIMARY CARE CLINIC OF JACKSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY MICHELLE O'CONNOR-WRAY DNP, APN, FNP-C (FNP, OWNER)
(731) 265-6197
Entity
Organization
Contact information
Practice address
54 EXETER RD STE B, JACKSON, TN 38305-1985
(731) 935-9463
Mailing address
8 STONEBRIDGE BLVD STE M, JACKSON, TN 38305-2178
(731) 265-6197
(731) 265-6198
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
000896897
TN
Other
Enumeration date
04/05/2017
Last updated
07/21/2022
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