Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

The Children's Clinic of West Tennessee PA

Organization Pediatrics Physician · NPI 1942469606

The Children's Clinic of West Tennessee PA provides Pediatrics Physician services in Jackson, Tennessee. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

264 Coatsland Dr
Jackson, TN 38301-3948 Not confirmed with CMS for 18 years — call before visiting
Phone: (731) 423-1500
Fax: (731) 423-0342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1942469606
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Self — Partner · (731) 423-1500
NPI enumeratedJune 6, 2008
Last updated in NPPESJune 6, 2008
Mailing address264 Coatsland Dr, Jackson, TN 38301-3948

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