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William Clay Jackson

Family Doctor Family Doctor - Hospice and Palliative Medicine

7945 Wolf River Blvd
Germantown , Tennessee 38138-1762

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Image

William Clay Jackson

Family Doctor Family Doctor - Hospice and Palliative Medicine

7945 Wolf River Blvd
Germantown , Tennessee 38138-1762

(901) 685-2969

Write a Review Save Call

William Clay Jackson

Family Doctor Family Doctor - Hospice and Palliative Medicine

7945 Wolf River Blvd
Germantown , Tennessee 38138-1762

(901) 685-2969 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Hospice and Palliative Medicine

Languages spoken

  • English

Location

7945 Wolf River Blvd Germantown , Tennessee 38138-1762

First Address

  • William Clay Jackson
  • 7714 Poplar Ave Ste 200
  • Germantown, TN
  • Zip : 38138-3941
  • Fax : (901) 685-2969
  • Phone : (901) 683-0055

Second Address

  • William Clay Jackson
  • 7945 Wolf River Blvd
  • Germantown, TN
  • Zip : 38138-1762
  • Fax : (901) 685-2969
  • Phone : (901) 683-0055

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FAQs


Where did William Clay Jackson attend graduate school?

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Where did William Clay Jackson do his residency?

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Where did William Clay Jackson do his fellowship?

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Is William Clay Jackson board certified?

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What type of doctor is William Clay Jackson

Family Doctor - Hospice and Palliative Medicine

In what state does William Clay Jackson practice in?

Tennessee

Where is William Clay Jackson ’s practice located?

7945 Wolf River Blvd , Germantown, Tennessee, 38138-1762

What is William Clay Jackson ’s gender?

Male

Is William Clay Jackson a sole practitioner?

No

Is William Clay Jackson accepting new patients?

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What languages does William Clay Jackson speak?

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Does William Clay Jackson accept insurance?

Yes, William Clay Jackson accepts insurance

Does William Clay Jackson offers telemedicine?

William Clay Jackson has not indicated if he offers telemedicine

What is William Clay Jackson ’s professional license number?

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What is William Clay Jackson ’s NPI number?

1407858368

Does William Clay Jackson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207Q00000X Family Doctor 31696 TN
Y 207QH0002X Family Doctor - Hospice and Palliative Medicine 31696 TN

National Provider Identifier

NPI 1407858368
Provider Name William Clay Jackson
First Address Germantown, TN 38138-3941
Second Address Germantown, TN 38138-1762
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 11/08/2005
Last Update Date 24/09/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
01751779 (05) MS
1508274 (05) TN
155538001 (05) AR
H04663 (02) TN

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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