KEJAC VENTURES, PLLC,
NPI 1700779519
Clinic/Center in Collierville, TN

Active since May 30, 2025
9390 MAYFIELD RD S, COLLIERVILLE, TN 38017(901) 849-4108 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kejac Ventures, Pllc, NPPES

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

KEJAC VENTURES, PLLC, (NPI 1700779519) is a healthcare organization registered as a clinic/center in Collierville, Tennessee and active in the NPI registry since May 2025. The organization lists Leellon Louise Martin, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1700779519
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKEJAC VENTURES, PLLC,
Location Address9390 MAYFIELD RD SCollierville, TN 38017-3354
Mailing Address9390 Mayfield Rd SCollierville, TN 38017-3354 · (901) 849-4108
Organization SubpartNo
Authorized OfficialLeellon Louise MartinNurse Practitioner · (901) 849-4108
Enumeration DateMay 30, 2025
NPPES CertifiedMay 30, 2025
NPI 1700779519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
9390 MAYFIELD RD S, Collierville, TN 38017

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 Kejac Ventures, PLLC,'s NPI number?

The NPI number for Kejac Ventures, PLLC, is 1700779519. It was assigned to this organization in the NPPES registry on May 30, 2025.

Where is Kejac Ventures, PLLC, located?

Kejac Ventures, PLLC, is located at 9390 Mayfield Rd S, Collierville, TN 38017. The listed phone number is (901) 849-4108.

What is Kejac Ventures, PLLC,'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Kejac Ventures, PLLC, was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.