| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1043437130 | THE MEDICAL CLINIC OF JACKSON | 587 SKYLINE DR | JACKSON | TN | 383013911 | |||
| 1629295738 | DUNNEBACKE | ROBERT | H | 587 SKYLINE DR | JACKSON | TN | 383013911 | |
| 1215175278 | GRANTHAM | STACIE | K | 587 SKYLINE DR | JACKSON | TN | 383013938 | |
| 1235356361 | SIOSON | CONRADO | B | 587 SKYLINE DR | JACKSON | TN | 383013911 |