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Primary Care Clinic of Jackson

Clinic/Center in Jackson, TN · enumerated 2017 · authorized official Kathy O'Connor-Wray, Fnp, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609309855

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Registry record

Entity type Organization (Type 2)
Legal business name Primary Care Clinic of Jackson
Practice address 54 Exeter Rd Ste B, Jackson, TN, 38305
Phone (731) 935-9463
Enumeration date Apr 5, 2017
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License 000896897 (TN) Primary

Authorized official

Name Kathy O'Connor-Wray
Title Fnp, Owner
Phone (731) 265-6197

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Primary Care Clinic of Jackson?
NPPES lists Kathy O'Connor-Wray (Fnp, Owner) as the authorized official for this organization.
What is the NPI number for Primary Care Clinic of Jackson?
The NPI for Primary Care Clinic of Jackson is 1609309855, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.