Minor Request

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

347C00000X Issued in TN

Legal business name

MINOR REQUEST

Practice address

10 Netherwood Dr
Jackson, TN 38305-9441

Phone

(731) 803-8850

NPI assigned

May 25, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Jenise Minor

Title

Owner

Phone

(731) 803-8850

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1730408014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NETHERWOOD DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383059441",
            "telephone_number": "731-803-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NETHERWOOD DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383059441",
            "telephone_number": "731-803-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINOR REQUEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "JENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-803-8850",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "TN",
            "license": "347C00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Lauren Cooper Mills, MD
• Mark John Milone, MD
• Tatevik Minasyan, MD
• Mind and Body Healthcare
• Tyler Anthony Mineo, DO
• Andrew Minor
• Christy F Minor, MD
• Mable Minor
• Wanda Minor
• Patrena F Minter

• Private Vehicle in Jackson, TN
• Providers in Jackson, TN by specialty
• Private Vehicle in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.