Oaklen Family Medicine PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

OAKLEN FAMILY MEDICINE PLLC

Practice address

106 Westside Dr
Tullahoma, TN 37388-3280

Phone

(931) 563-7991

NPI assigned

Jan 28, 2019

Last updated

Jul 3, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brett A Jackson, NP

Title

Owner

Phone

(931) 563-7991

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John A Anderson III, M.D.

  • Family Medicine Physician
  • Tullahoma, TN
  • NPI 1740394790
  NPD (past)
• Dana Andrea Jackson

  • Family Nurse Practitioner
  • Tullahoma, TN
  • NPI 1306330840
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1104380856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373980447",
            "telephone_number": "931-563-7991",
            "fax_number": "931-563-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WESTSIDE DR",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883280",
            "telephone_number": "931-563-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLEN FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-563-7991",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Faye Northcutt
• Northland Hearing Center, Inc. (The Hearing Aid Center)
• Alison Nunley, RN
• Ruth Ellen Nunley
• Joseph A O'Connor, P.T.
• Vicki Ogwynn
• Olan B Kemp
• Judy Olmanson, BA
• Oladapo O Omitowoju, M.D.
• Orthopedic Braces

• Family Nurse Practitioner in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.