Emily J Jallah, NP
Individual provider Active NPI Family Nurse Practitioner · Henning, TN
NPI 1124544903 · NPPES record last updated Dec 2, 2021
Key facts
- NPI
- 1124544903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 22958 (TN)
- Practice address
- 480 Green Chapel Rd
Henning, TN 38041-5726 - Phone
- (901) 844-1434
- NPI assigned
- Aug 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.77 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 72.56
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181024001783 | TN | Practitioner - Nurse Practitioner | 7911250709 |
Reassigns benefits to 1 organization Practice locations: Memphis, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22958 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs of Lakeside LLC | Current |
Accepting new patients |
Locations
2911 Brunswick Rd
Bartlett, TN 38133
Phone (901) 373-0905
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22958 | TN | Yes |
Addresses
Primary practice location
480 Green Chapel Rd
Henning, TN 38041-5726
Mailing address
480 Green Chapel Rd
Henning, TN 38041-5726
Phone (901) 844-1434
Other providers in Henning, TN
- Beatrice Fatima Bachour
- Donna A. Chisholm
- Heather Crook
- Caitlin Haynes
- Martha Williams, LCSW
- New Beginnings Personal Support Services
- George Lee Washington
- Patricia Ann Webster
- Donald R. Willie
All providers in Henning, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.