MS. LORETTA JELKS


Address: 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116
Phone: 6013624471

MS. LORETTA JELKS (NPI# 1013567213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013567213
Entity Type Individual
Full Name MS. LORETTA JELKS
Practice Address 1500 E Woodrow Wilson Ave
Jackson
MS 39216-5116
Mailing Address 117 Trace Wood Cv
Clinton
MS 39056-3914
Practice Telephone 6013624471
Mailing Telephone 6015596373
Enumeration Date 2019-09-19
Last Update Date 2019-09-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
MS Nursing Service Related Providers

Office Location

Street Address 1500 E WOODROW WILSON AVE
City JACKSON
State MS
Zip Code 39216-5116

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740264035 Sadeka Tamanna Internal Medicine 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2005-12-01
1881291383 Regina Marie Riley Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-10-07
1811502024 Wendy Hopkins Registered Nurse 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-09-14
1528679420 Christopher Michael Mcguffey Physical Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-08-13
1124637319 Kathryn Martin Lewis Registered Nurse 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-24
1932727468 Davis Mckenna Simms Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-10
1154948222 Tiffany Floyd Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-06
1962029389 Devonda Y Elliott Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-01
1629693759 Latorya Lashay Smith Dietitian, Registered 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-06-15
1932721669 Aubrey Cain Young Pharmacist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-05-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316559966 Royeisha Deshawn Walker Technician 3635 Hancock St, Jackson, MS 39213-5803 2020-08-17
1407495245 Tiffany Marie Griffin Technician 1980 Highway 80 W, Jackson, MS 39204-2303 2019-12-26
1881230084 Warren Johnson Technician 1932 Linda Ln, Jackson, MS 39213-4447 2019-11-22
1679117980 Cynthia Bailey Technician 916 Carnation Street, Jackson, MS 39213 2019-10-30
1871136374 Shirley Collins Williams Technician 3132 Sage St, Jackson, MS 39213 2019-10-28
1750923959 Patricia Ann Benjamino Technician 8 Poplar Street, Jackson, NJ 08527 2019-10-09
1043852155 Laquinta Cavett Technician 3740 John F Kennedy Blvd, Jackson, MS 39213-2919 2019-10-09
1699326843 Mary Ann Henderson Technician 339 Mason Blvd, Jackson, MS 39212-5151 2019-09-27
1154970978 Jasmine Lindsey Technician 4001 Rainey Rd, Jackson, MS 39212-5325 2019-09-04
1255776993 Gareth Gene Walker Technician 514 Covinton Street, Jackson, GA 30233 2013-05-08
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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