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Ms. Jana Brielle Lack, PA-C
Physician Assistant in Crossville, Tennessee
NPI 1790425080

Jana Brielle Lack is a Physician Assistant based in Crossville, TN. Jana Brielle Lack practices in Crossville, TN and has the professional credentials of PA-C. The NPI Number for Jana Brielle Lack is 1790425080 and holds a License No. (Tennessee).

The current practice location address for Jana Brielle Lack is 118 Brown Ave Ste 103, Crossville, TN and can be reached out via phone at 931-484-8861 and via fax at 865-374-2116. You can also correspond with Jana Brielle Lack through the mailing address at 84 EDWARDS RD, CROSSVILLE, TN - 38571-0599 (mailing address contact number: 931-787-8307).

Location: 118 Brown Ave Ste 103, Crossville, TN, 38571-0599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790425080
Provider Name
Jana Brielle Lack
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
118 Brown Ave Ste 103, Crossville, TN, 38571-0599
Phone Number
931-484-8861
Fax Number
865-374-2116
Provider Enumeration Date
04/01/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q078071 05 TN
institution
Provider Business Practice Location Address Details
Address
118 Brown Ave Ste 103
City
Crossville
State
Tennessee
Zip
38555-7740
Phone Number
931-484-8861
Fax Number
865-374-2116
person
Provider Business Mailing Address Details
Address
84 Edwards Rd
City
Crossville
State
Tennessee
Zip
38571-0599
Phone Number
931-787-8307
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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