Jackson Allergy & Asthma Clinic PLLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

JACKSON ALLERGY & ASTHMA CLINIC PLLC

Practice address

464 N Parkway Ste D
Jackson, TN 38305-2810

Phone

(731) 660-0138

Fax

(731) 660-0133

NPI assigned

May 25, 2018

Organization subpart

No

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

Authorized official

Name

Alan Dejarnatt

Title

Owner

Phone

(731) 660-0138

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1295226157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 N PARKWAY STE D",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052810",
            "telephone_number": "731-660-0138",
            "fax_number": "731-660-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 N PARKWAY STE D",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052810",
            "telephone_number": "731-660-0138",
            "fax_number": "731-660-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON ALLERGY & ASTHMA CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "DEJARNATT",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-660-0138"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine Clinic of Jackson PLLC
• William David Irvine, MD
• Island Park Beach Holdings LLC (West Tennessee Post Acute)
• Tiffani B Ivery
• Patty S. Ivie, CASE MANAGER
• Jackson Anesthesia & Perioperative Consultants P C
• Jackson Anesthesia and Perioperative Consultants
• Jackson Anesthesiology Group, PLLC
• Jackson Area Council on Alcoholism and Drug Dependency
• Jackson Center for Independent Living

• Allergy & Immunology Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Allergy & Immunology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.