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

Lori M Middleton

Individual provider Pediatric Nurse Practitioner · NPI 1922340371

Lori M Middleton is a Nurse Practitioner in Jacksboro, Tennessee. Qualified in 2012, 14 years ago. Practices with Allergic Diseases Asthma and Immunology Clinic PC, a 5-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
14
Licensed in
TN
In the registry since
2013

Practice location Address checks out

136 Mountain Perkins Ln Ste 2
Jacksboro, TN 37757-2841
Phone: (423) 562-4149
Fax: (423) 566-6929
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 17495 (TN)

Record details

NPI number1922340371
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2013
Last updated in NPPESMarch 25, 2013
Mailing address125 Town Creek Rd E, Suite 2b, Lenoir City, TN 37772-5690

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Allergic Diseases Asthma And Immunology Clinic Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Jacksboro