Provider Demographics
NPI:1588179147
Name:A-Z URGENT CARE
Entity Type:Organization
Organization Name:A-Z URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAKPOR
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:615-525-7387
Mailing Address - Street 1:3808 DAHLGREEN CT
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-4673
Mailing Address - Country:US
Mailing Address - Phone:615-525-7387
Mailing Address - Fax:615-327-6027
Practice Address - Street 1:3808 DAHLGREEN CT
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-4673
Practice Address - Country:US
Practice Address - Phone:615-525-7387
Practice Address - Fax:615-327-6027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-05
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19312363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty