Organization · Type 2 NPI
Madison Family Practice
Rural Health Clinic/Center · Jackson, TN
NPI number
1407086101
Active
Practice location
621 Old Hickory Blvd, Suite G
Jackson, TN 38305-2907
Fax (731) 660-6402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
About NPI 1407086101
Madison Family Practice's National Provider Identifier is 1407086101, issued on Jul 16, 2009. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Jackson, TN. The record was last updated on Apr 24, 2023.