Organization
JACKSON UROLOGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WHITNEY TUCKER (OFFICE MANAGER)
(731) 427-9971
Entity
Organization
Contact information
Practice address
28 MEDICAL CENTER DR, JACKSON, TN 38301-3947
(731) 427-9971
(731) 424-2052
Mailing address
28 MEDICAL CENTER DR, JACKSON, TN 38301-3947
(731) 427-9971
(731) 427-9973
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0142333
BLUE CROSS BLUE SHIELD
TN
05
—
3704374
—
TN
Enumeration date
11/22/2005
Last updated
03/25/2026
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