JESSICA M GREEN (NPI# 1114247590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114247590 |
| Entity Type | Individual |
| Full Name | JESSICA M GREEN |
| Practice Address |
301 Robb St Summit MS 39666-7053 |
| Mailing Address |
Po Box 768 Mccomb MS 39649-0768 |
| Practice Telephone | 6012763040 |
| Practice Fax Number | 6012494234 |
| Mailing Telephone | 6016842173 |
| Mailing Fax Number | 6012494234 |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PH1965 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780108670 | Jessica J Green | Speech-Language Pathologist | 3021 Hickory St, Saint Louis, MO 63104-1818 | 2017-08-01 |
| 1639628407 | Jessica Jasmine Green | Nurse Practitioner | 4687 Poucey Tract Road, Glen Allen, VA 23059 | 2016-09-22 |
| 1972976223 | Jessica Green | Dietitian, Registered | 1424 Freshwater Ct, Wake Forest, NC 27587-6262 | 2015-11-09 |
| 1215352901 | Jessica Green | Obstetrics & Gynecology | 2700 Sorority Ln, Holt, MI 48842-8744 | 2014-03-04 |
| 1336487818 | Jessica Marie Green | Massage Therapist | 236 Wayne St, Sandusky, OH 44870-2637 | 2013-01-17 |
| 1073861571 | Jessica Erin Green | Pharmacist | 969 Miles Rd, Lufkin, TX 75901-2119 | 2012-08-15 |
| 1669610069 | Jessica Green | Speech-Language Pathologist | 6161 S 33rd West Ave Ste 105, Tulsa, OK 74132-1502 | 2009-01-23 |
| 1417108218 | Jessica P Green | Behavioral Analyst | 1659 E Draper Cir, Mesa, AZ 85203-6628 | 2008-10-10 |
| 1821283078 | Jessica Green | Student in an Organized Health Care Education/Training Program | 5124 Sw View Point Ter, Portland, OR 97239-3908 | 2007-09-11 |
| 1578604773 | Jessica Nell Green | Pediatrics | 8402 Harcourt Rd Ste 105, Indianapolis, IN 46260-2006 | 2007-02-09 |
| Street Address |
301 ROBB ST |
| City | SUMMIT |
| State | MS |
| Zip Code | 39666-7053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531005 | Bobbi Burns Burdett | Counselor | 377 Montgomery Rd Sw, Summit, MS 39666 | 2020-02-27 |
| 1871073908 | Southwest Pharmacy, Inc. | Pharmacy | 1121 Hwy 98 and 51, Summit, MS 39666 | 2018-08-17 |
| 1710463856 | Lucy Rena' Mikell | Nurse Practitioner | 804 Robb Street, Summit, MS 39666 | 2018-07-12 |
| 1720586332 | Summit Express Pharmacy LLC | Pharmacy | 105 S Laurel St # 1310, Summit, MS 39666 | 2018-01-29 |
| 1356891667 | Brad Fortinberry | Physical Therapist | 709 Robb Street, Summit, MS 39666 | 2016-10-11 |
| 1124432679 | Tara Lynn Felder | Pharmacist | 1121 Hwy 98/51, Summit, MS 39666 | 2014-06-12 |
| 1295166056 | Thomas Chadwick Cochran | Dietitian, Registered | 1011 Meadville Street, Summit, MS 39666 | 2013-12-04 |
| 1912281999 | Lauren Wolfarth | Occupational Therapy Assistant | 4109 Highway 98 West, Summit, MS 39666 | 2011-10-07 |
| 1902196777 | Salena J Steade | Nurse Practitioner | 7900 Hwy 570, Summit, MS 39666 | 2011-04-14 |
| 1376853531 | Rose Cancer Center | Internal Medicine | 807 Rob Street, Summit, MS 39666 | 2010-10-20 |
| Find all providers in zip 39666 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889391 | Rebecca Pennington | Counselor | 45 River Rd Ste 4, Summit, NJ 07901-1452 | 2019-12-21 |
| 1346892130 | Christina Contrastano | Counselor | 45 River Rd Ste 8, Summit, NJ 07901-1452 | 2019-07-11 |
| 1154980449 | Marie Purcell | Counselor | 467 Springfield Ave Ste 201-202, Summit, NJ 07901-2622 | 2019-06-10 |
| 1699186569 | Mary Ann Badenoch | Counselor | 28 Harvey Dr, Summit, NJ 07901-1217 | 2014-05-14 |
| 1932542693 | Brian Patrick Thornton Jr. | Counselor | 33 Upper Overlook Road, Suite 210, Summit, NJ 07901 | 2013-04-12 |
| 1013199603 | Carolyn M Para | Counselor | 7420 Archer Avenue, Summit, IL 60501 | 2007-12-05 |
| 1780726638 | Chatham Psychiatric Group, P.a. | Counselor | 9 Tulip St, Summit, NJ 07901-2404 | 2007-02-13 |
| 1851431266 | Marcia D Lite | Counselor | 46 Beauvoir Ave # 48, Summit, NJ 07901-3568 | 2007-02-07 |
| 1043386113 | Linda N Kahn | Counselor | 11 Lorraine Rd, Summit, NJ 07901-1910 | 2006-11-28 |
| 1508931163 | Mark Anthony Maciuszek | Counselor | 7424 Archer Rd, Summit, IL 60501 | 2006-11-21 |
| Find all providers in SUMMIT | ||||
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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.