Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JANA BRIELLE LACK, PA-C
Active Sole ProprietorMS. JANA BRIELLE LACK, PA-C is a Physician Assistant healthcare provider located in CROSSVILLE, Tennessee. NPI 1790425080 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CROSSVILLE, TN
Registration Details
- NPI Number
- 1790425080
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 1, 2022 (4.3626915636598 yrs)
- Last Updated
- Oct 19, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
118 BROWN AVE STE 103CROSSVILLE, TN, 385557740Browse TN providers · Browse ZIP 38555
- Phone
- 9314848861
- Fax
- 8653742116
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CROSSVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| WILLIAM HARELSON | PA | 1205871761 |
| MRS. KAREN MARION THRASHER | PA | 1568498418 |
| DENNIS C MCCRANEY | PA-C | 1467501379 |
| MRS. MEGAN E HUDDLESTON | PA-C | 1073899746 |
| MS. SANDRA J MONDAY | PAC | 1972856409 |
| HANNAH MEGAN SHERROD | PA | 1538517008 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.