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DIABETES CENTER OF JACKSON, PLLC
NPI 1003315524
Nurse Practitioner - Family in Jackson, TN

Active since February 10, 2018
2782 N HIGHLAND AVE STE C, JACKSON, TN 38305(731) 602-2778 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diabetes Center Of Jackson, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIABETES CENTER OF JACKSON, PLLC (NPI 1003315524) is a healthcare organization registered as a family in Jackson, Tennessee and active in the NPI registry since February 2018. The organization lists Tracy D Little, Owner, as its authorized official.

NPPES Registry Identity

NPI1003315524
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDIABETES CENTER OF JACKSON, PLLC
Location Address2782 N HIGHLAND AVE STE CJackson, TN 38305-1797
Mailing Address214 Charles Latham DrJackson, TN 38301-9049 · (731) 602-2778
Phone(731) 602-2778
Organization SubpartNo
Authorized OfficialTracy D LittleOwner · (731) 602-2778
Enumeration DateFebruary 10, 2018
Last NPPES UpdateMarch 28, 2018
✔ NPI 1003315524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2782 N HIGHLAND AVE STE C, Jackson, TN 38305
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diabetes Center Of Jackson, PLLC's NPI number?

The NPI number for Diabetes Center Of Jackson, PLLC is 1003315524. It was assigned to this organization in the NPPES registry on February 10, 2018.

Where is Diabetes Center Of Jackson, PLLC located?

Diabetes Center Of Jackson, PLLC is located at 2782 N Highland Ave Ste C, Jackson, TN 38305. The listed phone number is (731) 602-2778.

What is Diabetes Center Of Jackson, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Diabetes Center Of Jackson, PLLC was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.