| Family Care Walk In Clinic, Inc. | |
|
176 W University Pkwy Ste C Jackson TN 38305-1618 | |
| (731) 660-6915 | |
| (731) 668-4557 |
| Full Name | Family Care Walk In Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 176 W University Pkwy Ste C, Jackson, Tennessee |
| Authorized Official Name and Position | Jeffrey Beuerlein (OWNER) |
| Authorized Official Contact | 7316606915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Walk In Clinic, Inc. 176 W University Pkwy Ste C Jackson TN 38305-1618 Ph: (731) 660-6915 | Family Care Walk In Clinic, Inc. 176 W University Pkwy Ste C Jackson TN 38305-1618 Ph: (731) 660-6915 |
| NPI Number | 1457302598 |
|---|---|
| Provider Enumeration Date | 05/13/2006 |
| Last Update Date | 04/08/2025 |
| Medicare PECOS PAC ID | 6608850722 |
|---|---|
| Medicare Enrollment ID | O20040616000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457302598 | NPI | - | NPPES |
| 3378522 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Betty A Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083692164 PECOS PAC ID: 3476532813 Enrollment ID: I20040719000576 |
| Provider Name | Jayme L Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538297460 PECOS PAC ID: 1355449729 Enrollment ID: I20070607000711 |
| Provider Name | Norma B Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558532440 PECOS PAC ID: 6507937414 Enrollment ID: I20080620000258 |
| Provider Name | Thomas P Norsworthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790764223 PECOS PAC ID: 8820165467 Enrollment ID: I20081021000533 |
| Provider Name | Christy Lynn Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952670226 PECOS PAC ID: 9537327432 Enrollment ID: I20120223000526 |
| Provider Name | Chelsey Elizabeth Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376113787 PECOS PAC ID: 2163828062 Enrollment ID: I20210901000174 |
| Provider Name | Celena Terri Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659036879 PECOS PAC ID: 0648657940 Enrollment ID: I20220506000000 |
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