| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1154351302 | BURNETT | LARRY | DWAYNE | 1804 HIGHWAY 45 BYP | JACKSON | TN | 383054436 | |
| 1588691851 | GURLEY | KAREN | R | 1804 HIGHWAY 45 BYP | JACKSON | TN | 383054436 | |
| 1659301893 | HOUSTON | TROY | DEAN | 1804 HIGHWAY 45 BYP | JACKSON | TN | 383054436 | |
| 1356858799 | HOWELL | BERTHA | 1804 HIGHWAY 45 BYP STE 604 | JACKSON | TN | 383054403 | ||
| 1437666930 | JOHNSON | TAMMY | 1804 HIGHWAY 45 BYP STE 604 | JACKSON | TN | 383054403 | ||
| 1629008875 | VAUGHN | BRIAN | MASON | 1804 HIGHWAY 45 BYP | JACKSON | TN | 383054436 |