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

The Children's Clinic of West Tennessee PA

Organization Pediatrics Physician · NPI 1942469606

The Children's Clinic of West Tennessee PA is a Pediatrics Physician in Jackson, Tennessee. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

264 Coatsland Dr
Jackson, TN 38301-3948
Phone: (731) 423-1500
Fax: (731) 423-0342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1942469606
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Self — Partner · (731) 423-1500
NPI enumeratedJune 6, 2008
Last updated in NPPESJune 6, 2008
Mailing address264 Coatsland Dr, Jackson, TN 38301-3948

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