Family Clinic at the Lake Pllc
NPI #1295620557 in Savannah, Tennessee
Provider Information
- NPI Number
- 1295620557
- Entity Type
- Organization
- Organization Name
- Family Clinic at the Lake Pllc
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jun 9, 2025
- Last Updated
- Jun 9, 2025
Practice Location
Authorized Official
- Name
- ELLANIKOLE JACKSON, NP
- Title
- OWNER
- Phone
- (901) 500-8629
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Clinic/Center - Rural Health — Rural Health |
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