JENNIFER RICHARDSON (NPI# 1164683702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164683702 |
| Entity Type | Individual |
| Full Name | JENNIFER RICHARDSON |
| Other Name | MRS. JENNIFER RICHARDSON |
| Credential | NNP |
| Practice Address |
1991 Lakeland Dr Ste C Jackson MS 39216-5000 |
| Practice Telephone | 6019815887 |
| Practice Fax Number | 6019817935 |
| Mailing Telephone | 6019815887 |
| Mailing Fax Number | 6019817935 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2012-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
R855650 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06939583 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104396266 | Jennifer Leeann Richardson | Counselor | 35859 E.w. 1210, Seminole, OK 74868 | 2018-12-03 |
| 1659775732 | Jennifer Richardson | Nurse Practitioner | 1005a City Ave N, Ripley, MS 38663-1414 | 2014-10-17 |
| 1467898304 | Jennifer Lynn Richardson | Behavioral Analyst | 201 S. Crapo, Suite 100, Mt. Pleasant, MI 48858 | 2013-05-20 |
| 1457624504 | Jennifer L Richardson | Pharmacist | 3404 W. Sylvania Avenue, Mercy St. Anne Hospital, Toledo, OH 43623 | 2012-02-21 |
| 1376784371 | Jennifer Michele Richardson | Nurse Practitioner | 1207 Highland Drive, Washington, NC 27889 | 2009-03-20 |
| 1164638896 | Jennifer Anne Richardson | Counselor | 20747 Sterlington Dr, Land O Lakes, FL 34638-4317 | 2007-05-16 |
| 1740374826 | Jennifer Lynn Richardson | Family Medicine | 3404 Newton St, Jasper, IN 47546-1020 | 2006-10-03 |
| 1841822418 | Jennifer Richardson | Dental Assistant | 3701 Baker Ln Ste 1, Reno, NV 89509-5430 | 2020-02-11 |
| 1447891726 | Jennifer Christine Richardson | Nurse Practitioner | 1912 Hayes Ave, Sandusky, OH 44870-4736 | 2019-10-08 |
| 1093362352 | Jennifer Richardson | Counselor | 6350 W Coal Mine Ave, Littleton, CO 80123-4501 | 2019-08-21 |
| Street Address |
1991 LAKELAND DR STE C |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124104765 | Mitzi Gail Ferguson | Pediatrics | 1991 Lakeland Dr Ste C, Jackson, MS 39216-5000 | 2006-10-27 |
| 1750556205 | Bridget Foley | Registered Nurse | 1991 Lakeland Dr Ste C, Jackson, MS 39216-5000 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558799536 | Jennifer Kilzer | Nurse Practitioner | 4458 Bittersweet Ct, Jackson, WI 53037-9754 | 2013-10-29 |
| 1790320729 | Mary Davis | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2019-11-13 |
| 1265077200 | Brittany Nicole Harris | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2019-11-13 |
| 1962939298 | Attiya Sinclair | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2017-05-17 |
| 1063881068 | Jennifer Tucker | Nurse Practitioner | 620 Skyline Dr, Jackson, TN 38301-3923 | 2015-09-20 |
| 1689040669 | Gabriel Lewis Macias | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2015-08-13 |
| 1952795387 | Jennifer Humphries | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2015-03-24 |
| 1194157784 | Sara Marie Presley | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2013-08-06 |
| 1962757260 | Nora Bishop | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2012-07-23 |
| 1720352792 | Melanie W. Ellis | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2012-03-08 |
| Find all providers in JACKSON | ||||
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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.