Provider Demographics
NPI:1780393991
Name:INTEGRATIVE HEALTHCARE SOLUTIONS, PLLC.
Entity type:Organization
Organization Name:INTEGRATIVE HEALTHCARE SOLUTIONS, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR. JAKEISHA TAYLOR GOSTON, APRN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAKEISHA
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:GOSTON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN
Authorized Official - Phone:662-721-2304
Mailing Address - Street 1:6025 STAGE RD STE 42
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-8374
Mailing Address - Country:US
Mailing Address - Phone:662-721-2304
Mailing Address - Fax:
Practice Address - Street 1:20 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38012-2555
Practice Address - Country:US
Practice Address - Phone:901-677-3405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-16
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty