DR. LA'WANDA Y. JENKINS (NPI# 1144734963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144734963 |
Entity Type | Individual |
Full Name | DR. LA'WANDA Y. JENKINS |
Credential | DNP, APN, PMHCNS-BC |
Practice Address |
814 Wren Rd Ste A Goodlettsville TN 37072-2312 |
Mailing Address |
704 Tuckahoe Dr Madison TN 37115-3429 |
Practice Telephone | 6158513063 |
Practice Fax Number | 6154206413 |
Mailing Telephone | 6153374932 |
Enumeration Date | 2017-12-01 |
Last Update Date | 2017-12-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
353093-01 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | CLINICAL SPECIALIST IN ADULT PSYCHIATRIC AND MENTAL HEALTH NURSI | 0353093-01 | 01 |
TN | ADVANCED PRACTICE NURSE | APN0000010506 | 01 |
Street Address |
814 WREN RD STE A |
City | GOODLETTSVILLE |
State | TN |
Zip Code | 37072-2312 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336651140 | Listen Hear LLC | Hearing Aid Equipment | 758 Rivergate Pkwy, Goodlettsville, TN 37072 | 2017-11-02 |
1023551140 | Joshua Shallcross | Physical Therapy Assistant | 2182 Gallatin Pike North, Goodlettsville, TN 37072 | 2016-11-21 |
1578858924 | Joy R Grimes | Nurse Practitioner | 913 Conference Dr Ste 103, Goodlettsville, TN 37072 | 2011-06-14 |
1558552620 | Integrative Health Community | Specialist | 400 Professional Park Dr., Suite 201, Goodlettsville, TN 37072 | 2007-08-05 |
1669662573 | Lisa Kathryn Spencer | Physical Therapist | 813 South Dickerson Road, Goodletsville, TN 37072 | 2007-07-26 |
1760684799 | Counseling Services of Middle Tn, LLC | Social Worker | 420 North Main St, Goodlettsville, TN 37072 | 2007-06-01 |
1881818649 | Alejandrina M. Goldberg | Registered Nurse | 1242 Twelve Stones Crossing, Goodlettsville, TN 37072 | 2007-04-12 |
1811012792 | Hal T Farmer | Chiropractor | 511 Rivergate Pkwy, Goodlettsville, TN 37072 | 2007-03-20 |
1417009440 | Michael A Rhodes Sr. | Family Medicine | 105. B. Memorial Dr., Suite B, Goodlettsville, TN 37072 | 2007-01-18 |
1417017039 | Gwendolyn Carney | Occupational Therapist | 813 S. Dickerson Rd, Goodlettsville, TN 37072 | 2006-12-12 |
Find all providers in zip 37072 |
Taxonomy Code | 364SP0809X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841663705 | Rhonda Lou Thompson | Clinical Nurse Specialist | 1160 Chickadee Cir, Hermitage, TN 37076-5627 | 2015-11-01 |
1568691566 | Diana C. Baker | Clinical Nurse Specialist | 5179 Normandy Ln, Memphis, TN 38117-2850 | 2009-07-11 |
1689886376 | Debra J. Partee | Clinical Nurse Specialist | 222 Gocchaux Hall, 461 21st Avenue South, Nashville, TN 37240-0001 | 2007-05-04 |
1285743286 | Lucy Kniseley | Clinical Nurse Specialist | Student Health Center University of Tn, 1800 Volunteer Blvd, Knoxville, TN 37996-0001 | 2006-08-30 |
1376988220 | Wendy K Wilson | Clinical Nurse Specialist | 2011 Ashwood Ave, Nashville, TN 37212-5015 | 2013-05-06 |
1144509837 | Anita Waid | Clinical Nurse Specialist | 880 Madison Ave, Memphis, TN 38103-3409 | 2011-08-11 |
1114175163 | Linda Marie Mcbride | Clinical Nurse Specialist | 425 5th Ave N, Cordell Hull Building-dmhdd 3rd Floor, Nashville, TN 37243-3400 | 2008-09-03 |
1336320886 | Minnie Bernice Troupe | Clinical Nurse Specialist | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2007-11-26 |
1831306562 | Susan D. Swanson-moore | Clinical Nurse Specialist | 300 20th Ave N, 9th Floor, Nashville, TN 37203-2131 | 2007-05-16 |
1164647574 | Susan K Ratcliffe | Clinical Nurse Specialist | 5201 Charlotte Ave, Nashville, TN 37209 | 2007-04-13 |
Find all providers with the same taxonomy |
City | GOODLETTSVILLE |
Zip Code | 37072 |
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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.