JESSICA DAWN LANE (NPI# 1124687785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124687785 |
| Entity Type | Individual |
| Full Name | JESSICA DAWN LANE |
| Credential | APRN |
| Practice Address |
200 Creekside Dr Dickson TN 37055-2176 |
| Mailing Address |
1610 Old Number One Rd Dickson TN 37055-5250 |
| Practice Telephone | 6154416140 |
| Mailing Telephone | 9316280068 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26030 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 Park Ave S, Hohenwald, TN 384621413 | 9316280068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720622509 | Jessica Chandi Lane | Nurse Practitioner | 2601 Lakeside Pkwy Ste 180, Flower Mound, TX 75022-4291 | 2019-11-04 |
| 1710494224 | Jessica Lauren Lane | Occupational Therapist | 408 Country Run Cir, Powell, TN 37849-5428 | 2018-01-05 |
| 1366895914 | Jessica Lane | Counselor | 7 Sheridan Rd, Asheville, NC 28803-2228 | 2016-07-19 |
| 1326421306 | Jessica Lane | Physical Therapist | 300 E Hampden Ave Ste 100, Englewood, CO 80113-2647 | 2015-07-08 |
| 1235738642 | Jessica Michelle Lane | Physical Therapy Assistant | 2441 S Highway 27, Somerset, KY 42501-2935 | 2020-10-19 |
| 1710584917 | Jessica Lee Lane | Counselor | 5290 Williams Dr, Roscoe, IL 61073-9222 | 2020-10-01 |
| 1609407519 | Jessica Ann Lane | Behavior Technician | 102 S Tejon St Ste 1100, Colorado Springs, CO 80903-2253 | 2020-01-29 |
| 1619525888 | Jessica Lane | Pharmacist | 668 S Us Highway 231, Bloomfield, IN 47424-7114 | 2019-08-29 |
| 1801373964 | Jessica D Lane | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2018-07-23 |
| 1558868877 | Jessica Barnes Lane | Registered Nurse | 111 Longwood Ave, Rockledge, FL 32955-2827 | 2018-04-12 |
| Street Address |
200 CREEKSIDE DR |
| City | DICKSON |
| State | TN |
| Zip Code | 37055-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081821 | Jeffrey D Kauppi | Physician Assistant | 200 Creekside Dr, Dickson, TN 37055-2176 | 2005-05-23 |
| 1487121703 | Advancd Diagnostic Imaging, PC | Internal Medicine | 200 Creekside Dr, Dickson, TN 37055-2176 | 2018-10-24 |
| 1518412105 | Edward Elliott IIi | Nurse Practitioner | 200 Creekside Dr, Dickson, TN 37055-2176 | 2016-08-24 |
| 1326431024 | Kerrie Baker | Nurse Practitioner | 200 Creekside Dr, Dickson, TN 37055-2176 | 2015-03-05 |
| 1023046794 | Katie Barnes | Nurse Practitioner | 200 Creekside Dr, Dickson, TN 37055-2176 | 2006-06-29 |
| 1205878220 | Walter Earnest Stephens | Emergency Medicine | 200 Creekside Dr, Dickson, TN 37055-2176 | 2006-06-12 |
| 1235131202 | Amy Lynne Webb | Nurse Practitioner | 200 Creekside Dr, Dickson, TN 37055-2176 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406186 | Raven Julia Jackson | Dentist | 445 Tn-46 S, Dickson, TN 37055 | 2020-08-03 |
| 1336767839 | Logan Newman | Student in an Organized Health Care Education/Training Program | 102 Us70 East, Suite 2, Dickson, TN 37055 | 2020-07-10 |
| 1720575012 | Vb Tennessee I Pllc | Dentist | 2027 Thornton Dr, Dickson, TX 37055 | 2018-04-23 |
| 1376075358 | Sharon Elizabeth Sharber | Nurse Practitioner | 111 Highway 70 E Ste E, Dickson, TN 37055 | 2017-03-29 |
| 1992255921 | Karen Alonzo | Occupational Therapy Assistant | 312 N Charlotte St, Dickson, TN 37055 | 2016-10-13 |
| 1356727408 | Aurora Pharmacy Inc | Pharmacy | 318 East College Street, Suite 102, Dickson, TN 37055 | 2015-07-30 |
| 1295121820 | Jeffrey Nicholas Williams | Pharmacy Technician | 120 Brazzell Rd, Dickson, TN 37055 | 2015-04-10 |
| 1760894398 | Joshua A. Vaughn | Physical Therapist | 766 Highway 46 South, Dickson, TN 37055 | 2014-06-02 |
| 1902217292 | Keith Payton | Dentist | 217 Highway 46 Ste D, Dickson, TN 37055 | 2014-05-08 |
| 1073953840 | John Harrison | Dentist | 134 Us-70, Dickson Pediatric Dentistry, Dickson, TN 37055 | 2013-06-26 |
| Find all providers in zip 37055 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619500857 | Cori Brown | Nurse Practitioner | 718 E College St, Dickson, TN 37055-2032 | 2020-02-17 |
| 1174081905 | Melissa Dawn Holton | Nurse Practitioner | 1052 Yellow Creek Rd, Dickson, TN 37055-5061 | 2019-03-11 |
| 1376075358 | Sharon Elizabeth Sharber | Nurse Practitioner | 111 Highway 70 E Ste E, Dickson, TN 37055 | 2017-03-29 |
| 1336416536 | Melissa Armstrong Glassford | Nurse Practitioner | 111 Highway 70 E Ste W202, Dickson, TN 37055-2080 | 2011-11-16 |
| 1255502308 | Brooke Crawford Hawkins | Nurse Practitioner | 111 Highway 70 East, Suite H, Dickson, TN 37055 | 2008-03-17 |
| 1679664411 | Kimberly L Ray | Nurse Practitioner | 2409 Highway 70 E, Dickson, TN 37055-6126 | 2006-09-27 |
| 1083610547 | Rose Dawn Widener | Nurse Practitioner | 7105 Ramsey Way, Dickson, TN 37055-1586 | 2005-06-21 |
| 1598302051 | Chansamone Noi Dee | Nurse Practitioner | 111 Highway 70 E, Dickson, TN 37055-2080 | 2019-12-04 |
| 1942771670 | Treeah Majors | Nurse Practitioner | 301 W End Ave, Dickson, TN 37055-1725 | 2018-12-06 |
| 1578082178 | Anna C Gorzny | Nurse Practitioner | 127 Crestview Park Dr, Dickson, TN 37055-2855 | 2017-09-14 |
| Find all providers in DICKSON | ||||
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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.