NPI 1528582046

Theurapeutics

Organisation Health Maintenance Organization Jackson, TN

Practice location

Address: 4 N Hampton Ln, Jackson, TN 38305-3924
Phone: (731) 616-7601
Mailing address: 200 Stonebridge Blvd, Jackson, TN 38305-6028

Authorised official

Name: Tanika Gillard
Title: Owner/Operator
Phone: (731) 616-7601

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 6345 (TN)

Other Health Maintenance Organization providers in Tennessee →

Registry record

NPI: 1528582046
Entity type: Organization
NPI issued: 26 Jul 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.