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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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