| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1366010241 | CHURCH | ALIVIA | 1804 HIGHWAY 45 BYP STE 604 | JACKSON | TN | 383054403 | ||
| 1053845131 | GIDEON | JESSICA | 1804 HIGHWAY 45 BYP | JACKSON | TN | 383054436 | ||
| 1932513165 | KELLY | JOHN | 3525 CHERE CAROL RD | HUMBOLDT | TN | 383433638 | ||
| 1477967602 | LANSDALE | JEFFREY | D | 3525 CHERE CAROL RD | HUMBOLDT | TN | 383433638 |