All Medicaid billing entities listing JACKSON, ELLANIKOLE (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Tennessee | 1 | $276K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | FAMILY CLINIC AT THE LAKE PLLC | COUNCE, TN | Nurse Practitioner | $276K |