Mrs Emily J Jallah, NP | |
480 Green Chapel Rd, Henning, TN 38041-5726 | |
(901) 844-1434 | |
Not Available |
Full Name | Mrs Emily J Jallah |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 480 Green Chapel Rd, Henning, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124544903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 22958 (Tennessee) | Primary |
Entity Name | Ut Regional One Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662 |
Entity Name | Uhs Of Lakeside Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083687651 PECOS PAC ID: 7315078029 Enrollment ID: O20180508002414 |
Mailing Address | Practice Location Address |
---|---|
Mrs Emily J Jallah, NP 480 Green Chapel Rd, Henning, TN 38041-5726 Ph: (901) 844-1434 | Mrs Emily J Jallah, NP 480 Green Chapel Rd, Henning, TN 38041-5726 Ph: (901) 844-1434 |
Donna A. Chisholm, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 480 Green Chapel Rd, Henning, TN 38041 Phone: 731-738-5044 Fax: 731-738-0181 | |
Mr. Donald R. Willie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 480 Green Chapel Rd, Henning, TN 38041 Phone: 731-738-5044 Fax: 731-738-5495 |