| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1245665868 | MOSS | JANTZEN | 1804 HIGHWAY 45 BYP | JACKSON | TN | 383054436 | ||
| 1225265218 | SMITH | RONICA | C | 1804 HIGHWAY 45 BYP | JACKSON | TN | 383054436 | |
| 1831363894 | STARR | SANDRA | 238 SUMMAR DR | JACKSON | TN | 383013906 |