Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Preventagenix LLC

Organization Family Nurse Practitioner · NPI 1619386877

Preventagenix LLC is a Family Nurse Practitioner in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2014.

Licensed in
TN
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

162 Murray Guard Dr Ste B
Jackson, TN 38305-3609
Phone: (731) 300-0044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7239 (TN)

Record details

NPI number1619386877
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Young — Fnp/Co-Owner · (731) 300-0044
NPI enumeratedAugust 12, 2014
Last updated in NPPESAugust 12, 2014
Mailing addressPo Box 10355, Jackson, TN 38308-0105

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