Neighborhood Medical LLC
Organization Active NPI Primary Care Clinic/Center · Jacksboro, TN
NPI 1780008656 · NPPES record last updated Apr 25, 2019
Key facts
- NPI
- 1780008656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- NEIGHBORHOOD MEDICAL LLC
- Practice address
- 2702 Jacksboro Pike
Suite B
Jacksboro, TN 37757-4850 - Phone
- (423) 201-9937
- NPI assigned
- Feb 12, 2014
- Organization subpart
- No
Authorized official
- Name
- Mrs. Melissa Joyner
- Title
- Owner
- Phone
- (423) 404-1994
Practitioners 18
-
Douglas E Lillifield, PA-C
-
Anthony Baird, PA-C
-
Micaela L Goebel, PA-C
-
Yvonne Lipecki Hosey, FNP
-
Phillip Darrell Kirkland, P.A.
-
Charlotte Jeannine Macdonald, FNP-BC
-
Whitney Marie Matchette, DNP-FNP-C
-
Jilliane Lee McNew, FNP-BC
-
Jennifer Maria Muggridge, APRN
-
Ronda K Pyles, PA-C
-
Amy Schoenthaler, FNP-C
-
Carolyn S Welch, N.P.
-
Lorina Ainsworth, APN
-
Lisa N Long, FNP-BC
-
Donna Michelle Pulliam, FNP-BC
National Provider Directory
Locations
2702 Jacksboro Pike
Ste B
Jacksboro, TN 37757
Phone (423) 201-9937
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
2702 Jacksboro Pike
Suite B
Jacksboro, TN 37757-4850
Mailing address
PO Box 786
Jacksboro, TN 37757-0786
Phone (423) 201-9854
Other practice location 1
120 Tanner Pl
Clinton, TN 37716-6684
Phone (865) 264-4012
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q010153 | Medicaid | TN |
Other names
- Neighborhood Primary Care
Other providers in Jacksboro, TN
- Kevin A Mysliwiec
- Sandy L Mysliwiec
- Gurpreet K Narula
- Harjeet Narula
- Tona A Neal
- Kathy Lynne Nelson
- Kimberly Paige Nelson
- Michael W Nichols
- Kelly Ann Norman
- Pamela Norman
All providers in Jacksboro, TN · Primary Care Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.