PREVENTAGENIX LLC
NPI 1619386877
Nurse Practitioner - Family in Jackson, TN

Q: What is Preventagenix LLC's NPI number?

The NPI number for Preventagenix LLC is 1619386877. It was assigned to this organization in the NPPES registry on August 12, 2014.

Q: What is Preventagenix LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Preventagenix LLC was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 12, 2014

162 MURRAY GUARD DR, SUITE B, JACKSON, TN 38305(731) 300-0044 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Preventagenix Llc NPPES

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

PREVENTAGENIX LLC (NPI 1619386877) is a healthcare organization registered as a family in Jackson, Tennessee and active in the NPI registry since August 2014. The organization lists Jeffrey W Young, Fnp/co-owner, as its authorized official.

NPPES Registry Identity

NPI1619386877

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NamePREVENTAGENIX LLC

Location Address162 MURRAY GUARD DR, SUITE BJackson, TN 38305-3609

Mailing AddressPo Box 10355Jackson, TN 38308-0105 · (731) 300-0044

Phone(731) 300-0044

Organization SubpartNo

Authorized OfficialJeffrey W YoungFnp/co-owner · (731) 300-0044

Enumeration DateAugust 12, 2014

✔ NPI 1619386877 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

License✔ Licensed in TN · 7239

162 MURRAY GUARD DR, 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

Other Providers at the Same Location NPPES

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

THE CARDIOVASCULAR CLINIC OF WEST TENNESSEE,P.C.

Internal Medicine (Cardiovascular Disease)

162 MURRAY GUARD DR, SUITE A
JACKSON, TN 38305

Madison County (731) 256-1819

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 Preventagenix LLC's NPI number?

The NPI number for Preventagenix LLC is 1619386877. It was assigned to this organization in the NPPES registry on August 12, 2014.

Where is Preventagenix LLC located?

Preventagenix LLC is located at 162 Murray Guard Dr Suite B, Jackson, TN 38305. The listed phone number is (731) 300-0044.

What is Preventagenix 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 Preventagenix LLC was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.