| Mind And Body Healthcare | |
|
137 Terrace Pl Jackson TN 38301-4836 | |
| (731) 435-3060 | |
| Not Available |
| Full Name | Mind And Body Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 137 Terrace Pl, Jackson, Tennessee |
| Authorized Official Name and Position | Lori Kay Jenkins (OWNER/ NURSE PRACTITIONER) |
| Authorized Official Contact | 7314353060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind And Body Healthcare 137 Terrace Pl Jackson TN 38301-4836 Ph: (731) 435-3060 | Mind And Body Healthcare 137 Terrace Pl Jackson TN 38301-4836 Ph: (731) 435-3060 |
| NPI Number | 1043884992 |
|---|---|
| Provider Enumeration Date | 05/15/2021 |
| Last Update Date | 07/25/2021 |
| Certification Date | 07/25/2021 |
| Medicare PECOS PAC ID | 5597150862 |
|---|---|
| Medicare Enrollment ID | O20220323002101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043884992 | NPI | - | NPPES |
| Provider Name | Lori K Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740284728 PECOS PAC ID: 9234119678 Enrollment ID: I20040724000413 |
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