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

Mr. Paul Anthony Jackson Jr.

Individual provider Family Nurse Practitioner · NPI 1285375543

Mr. Paul Anthony Jackson Jr. is a Nurse Practitioner in Murfreesboro, Tennessee. Qualified in 2021, 5 years ago. Practices with Coffee County Hospital Group Inc, a 88-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2022
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Practice location Address checks out

529 Brandies Cir
Murfreesboro, TN 37128-0710
Phone: (615) 797-8573
Fax: (423) 567-8573
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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 31473 (TN)

Record details

NPI number1285375543
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 2, 2022
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Coffee County Hospital Group Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Murfreesboro