Healthcare Provider Details

I. General information

NPI: 1972808301
Provider Name (Legal Business Name): JH & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2011
Last Update Date: 08/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 PROFESSIONAL PLZ STE 101
GERMANTOWN TN
38138-7915
US

IV. Provider business mailing address

9335 GRESHAM CV
GERMANTOWN TN
38139-3596
US

V. Phone/Fax

Practice location:
  • Phone: 901-328-2110
  • Fax: 901-590-3999
Mailing address:
  • Phone: 901-262-9682
  • Fax: 901-328-1360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. JANNA LYN HACKER
Title or Position: DIRECTOR
Credential: MS
Phone: 901-262-9682