1. Home
  2. Directory
  3. Tennessee
  4. Jamestown
  5. Nurse Practitioner
  6. NPI Profile

JAMESTOWN FAMILY CARE CLINIC, LLC
NPI 1578812087
Nurse Practitioner - Family in Jamestown, TN

Active since August 30, 2012
1010 OLD HIGHWAY 127 SOUTH, JAMESTOWN, TN 38556(931) 879-5804 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jamestown Family Care Clinic, Llc NPPES

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

JAMESTOWN FAMILY CARE CLINIC, LLC (NPI 1578812087) is a healthcare organization registered as a family in Jamestown, Tennessee and active in the NPI registry since August 2012. The organization lists Lillian Tracye Robertson, Dnp/owner, as its authorized official.

NPPES Registry Identity

NPI1578812087
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJAMESTOWN FAMILY CARE CLINIC, LLC
Location Address1010 OLD HIGHWAY 127 SOUTHJamestown, TN 38556-0068
Mailing AddressPo Box 68Jamestown, TN 38556-0068 · (931) 879-5804
Phone(931) 879-5804
Organization SubpartNo
Authorized OfficialLillian Tracye RobertsonDnp/owner · (931) 879-5804
Enumeration DateAugust 30, 2012
✔ NPI 1578812087 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
1010 OLD HIGHWAY 127 SOUTH, Jamestown, TN 38556
Open in Google Maps ↗

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 Jamestown Family Care Clinic, LLC's NPI number?

The NPI number for Jamestown Family Care Clinic, LLC is 1578812087. It was assigned to this organization in the NPPES registry on August 30, 2012.

Where is Jamestown Family Care Clinic, LLC located?

Jamestown Family Care Clinic, LLC is located at 1010 Old Highway 127 South, Jamestown, TN 38556. The listed phone number is (931) 879-5804.

What is Jamestown Family Care Clinic, LLC'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 Jamestown Family Care Clinic, LLC was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.