| 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 | 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 |
Caitlin Haynes, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 261 Pleasant Hill Glimp Rd, Henning, TN 38041 Phone: 731-413-9660 |
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 |