Healthcare Provider Details

I. General information

NPI: 1104699644
Provider Name (Legal Business Name): PERSONAL PEACE PSYCHIATRIC SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 MURRAY GUARD DR STE A
JACKSON TN
38305-3850
US

IV. Provider business mailing address

327 VISTA DR
MEDINA TN
38355-6949
US

V. Phone/Fax

Practice location:
  • Phone: 731-207-6282
  • Fax:
Mailing address:
  • Phone: 731-207-6282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JENNY CARTER
Title or Position: OWNER
Credential: APRN, PMHNP
Phone: 731-234-3776