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

Kasey Lax, ARNP

Individual provider Registered Nurse · NPI 1346565629

Kasey Lax, ARNP is a Nurse Practitioner in Bolivar, Tennessee. Qualified in 2009, 17 years ago. Practices with Jackson Clinic PA, a 176-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
17
Licensed in
TN
In the registry since
2010
Specialties on file
2
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

622 W Market St
Bolivar, TN 38008-2519
Phone: (731) 658-2885
Fax: (731) 658-2886
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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 14931 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 139704 (TN)

Record details

NPI number1346565629
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedMarch 30, 2010
Last updated in NPPESJanuary 15, 2020
Certification dateJanuary 15, 2020
Mailing addressPo Box 400, Jackson, TN 38302-0400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Jackson Clinic Pa — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Bolivar