REGINA BERRY


Address: 1325 E Fortification St, Jackson, MS 39202-2442
Phone: 6013544488

REGINA BERRY (NPI# 1154799625) 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) 1154799625
Entity Type Individual
Full Name REGINA BERRY
Other Name REGINA WILSON
Credential CNP
Practice Address 1325 E Fortification St
Jackson
MS 39202-2442
Practice Telephone 6013544488
Practice Fax Number 6019141835
Mailing Telephone 6013544488
Mailing Fax Number 6019141835
Enumeration Date 2015-09-14
Last Update Date 2015-09-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
R861126 MS Physician Assistants & Advanced Practice Nursing Providers

Other Providers REGINA BERRY

NPI Name Taxonomy Address Enumeration
1386990612 Regina Sharon Berry Home Health Aide 3754 Hayes St Ne Apt 2, Washington, DC 20019-1728 2012-07-24
1174782387 Regina Marie Berry Counselor 300 Paynes Depot Rd, Lexington, KY 40511-8903 2008-06-03

Office Location

Street Address 1325 E FORTIFICATION ST
City JACKSON
State MS
Zip Code 39202-2442

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386632560 Chris Phillip Ethridge Orthopaedic Surgery 1325 E Fortification St, Jackson, MS 39202-2442 2005-10-11
1144832130 Georgiana Ogletree Occupational Therapist 1325 E Fortification St, Jackson, MS 39202-2442 2020-08-20
1972133353 Justin Bryant Schopp Physician Assistant 1325 E Fortification St, Jackson, MS 39202-2442 2020-01-24
1154951739 Hailey Daniels Kelly Physician Assistant 1325 E Fortification St, Jackson, MS 39202-2442 2020-01-22
1356903520 James Logan Ferrell Occupational Therapist 1325 E Fortification St, Jackson, MS 39202-2442 2019-07-08
1184185472 Jamie Jackson Garrett Physician Assistant 1325 E Fortification St, Jackson, MS 39202-2442 2019-03-28
1114494754 Charles Taylor Knapp Nurse Practitioner 1325 E Fortification St, Jackson, MS 39202-2442 2018-11-01
1477078277 Leah Winstead West Physical Medicine & Rehabilitation 1325 E Fortification St, Jackson, MS 39202-2442 2017-08-14
1700309374 Van Treece Woodall Specialist/Technologist 1325 E Fortification St, Jackson, MS 39202-2442 2017-07-25
1346760220 Megan Wallace Tyson Nurse Practitioner 1325 E Fortification St, Jackson, MS 39202-2442 2017-06-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234183 Eva Mackenzie Carmody Physician Assistant 1190 N State St Suite 502, Jackson, MS 39202 2020-01-16
1750868691 Katherine Walters Nurse Practitioner 501 Marshall St., Suite 400, Jackson, MS 39202 2018-07-24
1932638749 Tylan Lee Social Worker 860 East River Place Suite 100, Jackson, MS 39202 2017-06-06
1417314725 Euna Jyles Counselor 860 E River Pl, Jackson, MS 39202 2016-01-19
1255712048 Edward Jonathan Breight Specialist/Technologist 1325 East Fortication Street, Jackson, MS 39202 2015-06-17
1881037703 Kara Spinks Logan Surgery 1190 N State St Ste 502, Jackson, MS 39202 2013-04-10
1477876530 Mick Inc. Technician 334 Josanna Street, Suite #209, Jackson, MS 39202 2010-03-03
1073724910 Paul Frederic Dare Anesthesiology 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 2007-05-24
1225247703 Lynn Kincannon Holland Counselor 911 Manship Street, Unit A, Jackson, MS 39202 2007-05-22
1457568149 Incare Inc Pulmonary Function Technologist 1151 North State St, Suite 406, Jackson, MS 39202 2007-05-16
Find all providers in zip 39202

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700240397 Veronique Monique Lynch Nurse Practitioner 963 Toms River Rd, Jackson, NJ 08527-5239 2016-04-08
1821423484 Katherine G Lott Nurse Practitioner 6295 Old Canton Rd, Apt 23b, Jackson, MS 39211-2908 2013-09-13
1760618292 Matthew Edward Flynn Nurse Practitioner 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 2009-06-10
1326649336 Sharron Rena Brown Nurse Practitioner 1225 N State St, Jackson, MS 39202-2097 2020-11-05
1396346607 Ashleigh Renfroe Hannah Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-11-03
1770182438 Tara P. Carter Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-10-22
1437785508 Katey Andrews Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-03-20
1144854498 Katlyn Amason Nurse Practitioner 501 Marshall St Ste 200, Jackson, MS 39202-1687 2020-02-25
1194364554 Erica L Hawkins Nurse Practitioner 900 Cooper St, Jackson, MI 49202-3398 2020-01-03
1023664430 Jennifer Elizabeth Overton Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2019-08-12
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39202

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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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