Matthew Tyler Jernigan in Selmer - Counselor
Matthew Tyler Jernigan - NPI 1174669287
Matthew Tyler Jernigan is a Counselor in Selmer, Tennessee. Matthew Tyler Jernigan practices all healthcare services and medical treatments related to Counselor. The NPI Number for Matthew Tyler Jernigan is 1174669287. The last update date is 2007-07-08.
Matthew Tyler Jernigan's current location address is 641 E Poplar Ave, Selmer, Tennessee. You can contact this provider via phone number 7316455753 and fax number 7316459885. The mailing address for Matthew Tyler Jernigan is 641 E Poplar Ave, Selmer, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Tyler Jernigan |
|---|---|
| Address | 641 E Poplar Ave, Selmer, Tennessee |
| Phone Number | 7316455753 |
| Fax Number | 7316459885 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174669287 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 641 E Poplar Ave |
|---|---|
| City | Selmer |
| State | Tennessee (TN) |
| Post Code | 383751828 |
| Phone Number | 7316455753 |
| Fax Number | 7316459885 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Post Comment/ Review Below
What is the Matthew Tyler Jernigan's 1174669287?
The Matthew Tyler Jernigan's NPI (National Provider Identifier) Number is 1174669287. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Matthew Tyler Jernigan's facilities are situated?
The facilities of Matthew Tyler Jernigan are physically located at the following address: 641 E Poplar Ave, Selmer, TN, 383751828.
What is Matthew Tyler Jernigan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Matthew Tyler Jernigan's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.
On what date did the Matthew Tyler Jernigan receive its 1174669287 assignment from the Centers for Medicare & Medicaid Services?
The Matthew Tyler Jernigan was assigned its 1174669287 by the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date was the information pertaining to Matthew Tyler Jernigan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Matthew Tyler Jernigan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1194728337
Address: 5430 Fredericksburg Rd, San Antonio, TX