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

Primary Care Clinic of Jackson

Organization Clinic/Center · NPI 1609309855

Primary Care Clinic of Jackson is a Clinic/Center in Jackson, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2017

Practice location Address checks out

54 Exeter Rd Ste B
Jackson, TN 38305-1985
Phone: (731) 935-9463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8 Stonebridge Blvd Ste M, Jackson, TN 38305-2178 — (731) 265-6197

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 000896897 (TN)

Record details

NPI number1609309855
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy O'Connor-Wray — Fnp, Owner · (731) 265-6197
NPI enumeratedApril 5, 2017
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022
Mailing address8 Stonebridge Blvd Ste M, Jackson, TN 38305-2178

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