Premier Primary Care PLLC
Organization Active NPI Family Nurse Practitioner · Union City, TN
NPI 1841614005 · NPPES record last updated Jul 15, 2014
Key facts
- NPI
- 1841614005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 18135 (TN)
- Legal business name
- PREMIER PRIMARY CARE PLLC
- Practice address
- 1208 Edwards St
Union City, TN 38261-5320 - Phone
- (731) 885-8884
- NPI assigned
- Feb 8, 2014
- Organization subpart
- No
Authorized official
- Name
- Tina Wright
- Title
- Office Manager
- Phone
- (731) 885-8884
Corporate family (same tax ID) 2
Practitioners 5
-
Laken Brooke Clanton, NP-C
-
Rita Carol Koon, FNP BC
-
Emily C Miller, ANP BC
-
Chelsea Shannon, FNP-BC
National Provider Directory
- Tax ID family
- Premier Primary Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 18135 | TN | Yes |
Addresses
Primary practice location
1208 Edwards St
Union City, TN 38261-5320
Mailing address
1208 Edwards St
Union City, TN 38261-5320
Phone (731) 885-8884
Other providers in Union City, TN
- Jaclyn Jeanai Pettigrew
- Philip a. Sherman, M.D.
- Pinnacle Pain Management, PLLC
- Kristina Pollock
- Amanda Denise Polman
- Premier Primary Care, PLLC
- Premier Primary Care, PLLC
- Premier Wound Care, PLLC
- Priority Health & Addiction Medicine
- Priority One Medical Care LLC
All providers in Union City, 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 Jul 15, 2014. 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.