JENNIFER ELAINE PICKENS (NPI# 1053884106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053884106 |
| Entity Type | Individual |
| Full Name | JENNIFER ELAINE PICKENS |
| Credential | RN |
| Practice Address |
611 Alcorn Dr Corinth MS 38834-9321 |
| Practice Telephone | 6622931000 |
| Practice Fax Number | 6622934295 |
| Mailing Telephone | 6622931000 |
| Mailing Fax Number | 6622934295 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
904684 | MS | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 29 County Road 164, Corinth, MS 388341415 | 7316105019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689121022 | Jennifer Borgognoni Pickens | Physical Therapist | 746 E Fifteenth St, Yazoo City, MS 39194 | 2016-09-01 |
| 1639416407 | Jennifer Dianne Pickens | Pharmacist | 1455 State Road 436 Ste 221, Casselberry, FL 32707-6514 | 2013-01-13 |
| Street Address |
611 ALCORN DR |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-9321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609876739 | Clyde Maxwell Hutchinson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 611 Alcorn Dr, Suite 200, Corinth, MS 38834-9321 | 2005-07-29 |
| 1073122305 | Caitlin Bridget Corker Relph | Pharmacist | 611 Alcorn Dr, Corinth, MS 38834-9388 | 2020-07-22 |
| 1316564651 | Bennett Davis | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-02 |
| 1902423155 | John Raper | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-02 |
| 1447877873 | William David Wynn | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1275150625 | Brian Chase Bennett | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1851918213 | Courtney Kathleen Rich | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9388 | 2020-07-01 |
| 1114544590 | Abdalaziz Tabash | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1750908315 | Tara George | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-06-30 |
| 1154947398 | Chelsey Danielle Stewart | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667488 | Ricky Bernard Conway | Registered Nurse | 5732 Angle Drive, Jackson, MS 39206-3920 | 2020-04-08 |
| 1497309298 | Jaleesa Nicole Williams | Registered Nurse | 330b Highway 90, Gautier, MS 39553-5744 | 2019-07-30 |
| 1568930469 | Bathsheba Brown | Registered Nurse | 760 Brookman Dr Ext, Brookhaven, MS 39601-2340 | 2018-11-08 |
| 1760983969 | Annie Hibbler Pierson | Registered Nurse | 27 Britt Rd, Indianola, MS 38751-2793 | 2018-02-22 |
| 1679080568 | Catrina Deshan Lockhart | Registered Nurse | 472 Highway 35, Collins, MS 39428-6216 | 2018-01-02 |
| 1417341512 | Rose Evans | Registered Nurse | 1011 Pinecrest Dr, Mccomb, MS 39648-8285 | 2015-03-26 |
| 1336608595 | Michael J Necaise | Registered Nurse | 4500 13th St, Gulfport, MS 39501-2569 | 2019-03-18 |
| 1508309675 | Amanda Veazey | Registered Nurse | 1325 E Fortification St, Jackson, MS 39202-2442 | 2016-11-22 |
| 1124400411 | Rodney T Biggs | Registered Nurse | 104 Burney Dr, Flowood, MS 39232-6621 | 2015-06-23 |
| 1710256037 | Fanika Shuntae Herbert | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2011-12-14 |
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| 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.