| Ultra Health Providers Ii Llc | |
|
36 Pemberton Cv Jackson TN 38305-5514 | |
| (731) 394-1145 | |
| Not Available |
| Full Name | Ultra Health Providers Ii Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 36 Pemberton Cv, Jackson, Tennessee |
| Authorized Official Name and Position | Charles Richard Jerman (MEMBER) |
| Authorized Official Contact | 7312348120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultra Health Providers Ii Llc Po Box 26485 Dept 1138 Oklahoma City OK 73126 Ph: (731) 394-1145 | Ultra Health Providers Ii Llc 36 Pemberton Cv Jackson TN 38305-5514 Ph: (731) 394-1145 |
| NPI Number | 1033956057 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 03/04/2025 |
| Medicare PECOS PAC ID | 5395284616 |
|---|---|
| Medicare Enrollment ID | O20240829003110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033956057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary Gayle Schnee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770958589 PECOS PAC ID: 5597067447 Enrollment ID: I20160108001151 |
| Provider Name | Stephanie Johnson Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306311832 PECOS PAC ID: 4587900857 Enrollment ID: I20210921001951 |
| Provider Name | Dalton Kristofer Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417690223 PECOS PAC ID: 6709263874 Enrollment ID: I20220510002104 |
| Provider Name | Lori Lynette Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437805942 PECOS PAC ID: 4880070010 Enrollment ID: I20220926002258 |
| Provider Name | Sheena Makerrin Mceachin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477242634 PECOS PAC ID: 9133585086 Enrollment ID: I20230518001184 |
| Provider Name | Tashamba Lashira Davis-denson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972366730 PECOS PAC ID: 5294179297 Enrollment ID: I20240219000074 |
| Provider Name | Polly Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902669401 PECOS PAC ID: 5890134373 Enrollment ID: I20240430001603 |
| Provider Name | Hannah Wooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376378661 PECOS PAC ID: 8022543859 Enrollment ID: I20241203001042 |
| Provider Name | Latrice Janiva Shell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528783065 PECOS PAC ID: 4082085238 Enrollment ID: I20250204003211 |
| Provider Name | Brittany Danielle Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497569115 PECOS PAC ID: 0042740565 Enrollment ID: I20250212002035 |
| Provider Name | Ella Emmeline Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841016888 PECOS PAC ID: 9436679529 Enrollment ID: I20250219002504 |
Wellness Clinic And Family Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Meridian Springs Dr, Jackson, TN 38301 Phone: 731-256-0526 Fax: 731-256-1720 | |
Ultimate Health Clinic North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Murray Guard Dr Ste B, Jackson, TN 38305 Phone: 731-660-0887 Fax: 731-660-9996 | |
The Medical Clinic Of Jackson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 587 Skyline Dr, Jackson, TN 38301 Phone: 731-424-8922 Fax: 731-423-2922 | |
West Tennessee Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-660-8730 Fax: 731-660-8739 | |
Northside Medical Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Hughes Dr, Jackson, TN 38305 Phone: 731-668-2800 Fax: 731-668-6161 | |
Agape Family Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1124 Whitehall St, Jackson, TN 38301 Phone: 731-616-4468 |