PEDIATRIC PROFESSIONALS
NPI 1518112911
Specialist in Jacksboro, TN

Q: What is Pediatric Professionals's NPI number?

The NPI number for Pediatric Professionals is 1518112911. It was assigned to this organization in the NPPES registry on November 26, 2008.

Q: What is Pediatric Professionals's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 26, 2008

136 MOUNTAIN PERKINS LANE, SUITE 2, JACKSBORO, TN 37757(865) 250-3740 Get Directions Write a Review

NPPES record last updated: March 12, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pediatric Professionals NPPES

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

PEDIATRIC PROFESSIONALS (NPI 1518112911) is a healthcare organization registered as a specialist in Jacksboro, Tennessee and active in the NPI registry since November 2008. The organization lists Shahid Hasnain, Owner, as its authorized official.

NPPES Registry Identity

NPI1518112911

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePEDIATRIC PROFESSIONALS

Location Address136 MOUNTAIN PERKINS LANE, SUITE 2Jacksboro, TN 37757

Mailing AddressPo Box 440305, Suite 2Nashville, TN 37244-0305 · (865) 250-3740

Phone(865) 250-3740

Organization SubpartNo

Authorized OfficialShahid HasnainOwner · (865) 250-3740

Enumeration DateNovember 26, 2008

Last NPPES UpdateMarch 12, 2009

✔ NPI 1518112911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TN · 30258

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

136 MOUNTAIN PERKINS LANE, Jacksboro, TN 37757

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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET REID YOUNG CPNP

Nurse Practitioner (Pediatrics)

136 MOUNTAIN PERKINS LANE, SUITE 2
JACKSBORO, TN 37757

Campbell County (423) 562-4149

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 Pediatric Professionals's NPI number?

The NPI number for Pediatric Professionals is 1518112911. It was assigned to this organization in the NPPES registry on November 26, 2008.

Where is Pediatric Professionals located?

Pediatric Professionals is located at 136 Mountain Perkins Lane Suite 2, Jacksboro, TN 37757. The listed phone number is (865) 250-3740.

What is Pediatric Professionals's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pediatric Professionals was last updated on March 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.