Dr JACLYN A BANE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2014 from University Of South Alabama College Of Medicine.
WEST TENNESSEE MEDICAL GROUP, INC
620 SKYLINE DR
JACKSON
TN
383013923
Tel: 7315415000
| Npi | 1871983452 |
| Pac Id | 7810216777 |
| Professional Enrollment Id | I20150428001186 |
| Last Name | BANE |
| First Name | JACLYN |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | WEST TENNESSEE MEDICAL GROUP, INC |
| Group Practice Pac Id | 3971781006 |
| Number Of Group Practice Members | 112 |
| Line 1 Street Address | 620 SKYLINE DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | JACKSON |
| State | TN |
| Zip Code | 383013923 |
| Phone Number | 7315415000 |
| Hospital Affiliation Ccn 1 | 440002 |
| Hospital Affiliation Lbn 1 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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