Individual provider · Type 1 NPI

Jimmy Russell Mauney, PA-C

Physician Assistant · Clarksville, TN

NPI number 1760711469 Active

Practice location

1000 S Gateway Blvd
Clarksville, TN 37043-8118

Call (931) 552-4340 Map

Fax (931) 552-0999

Mailing address

PO Box 160909
Altamonte Springs, FL 32716-0909

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2008 (TN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1760711469

Jimmy Russell Mauney, PA-C's National Provider Identifier is 1760711469, issued on Dec 9, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Clarksville, TN. The record was last updated on Oct 26, 2026.