Organization
ULTRA HEALTH LLC
Active
Other names
Ultra Health Provders
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES RICHARD JERMAN III (MEMBER)
(731) 234-8120
Entity
Organization
Contact information
Practice address
4128 OLD JACKSON RD, BELLS, TN 38006-4261
(731) 394-1145
Mailing address
PO BOX 269084, DEPT 1102, OKLAHOMA CITY, OK 73126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/09/2016
Last updated
02/18/2026
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