JESSICA SMALL (NPI# 1184027807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184027807 |
| Entity Type | Individual |
| Full Name | JESSICA SMALL |
| Practice Address |
107 B Fahm St Savannah GA 31401 |
| Practice Telephone | 9126512253 |
| Practice Fax Number | 9126512366 |
| Mailing Telephone | 9126512253 |
| Mailing Fax Number | 9126512366 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN087366 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447613716 | Jessica Small | Massage Therapist | 102 E Redoubt Ave, Soldotna, AK 99669-8012 | 2016-04-03 |
| 1497178883 | Jessica Small | Marriage & Family Therapist | 10955 Westmoor Dr, Westminster, CO 80021-2704 | 2014-01-21 |
| 1033540687 | Jessica Demerise Small | Counselor | 202 Exchange St, Bangor, ME 04401-6508 | 2013-12-09 |
| 1336481035 | Jessica Ann Small | Pharmacist | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2013-03-20 |
| 1063675510 | Jessica Mehring Small | Internal Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2008-07-04 |
| 1699736587 | Jessica Small | Family Medicine | 1611 Cambridge St, Cambridge, MA 02138-4302 | 2006-03-30 |
| Street Address |
107 B FAHM ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346222791 | Victoria J. Worden | Nurse Practitioner | 107 B Fahm St, Savannah, GA 31401-3040 | 2005-11-18 |
| 1639132186 | Ada C Owens | Nurse Practitioner | 107 B Fahm St, Savannah, GA 31401 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031470 | Leslie Beatrice Dixon | Technician | 1109 Harmon Street, Savannah, GA 31401 | 2019-09-05 |
| 1912444621 | Sarah Kristen Shuman | Counselor | 140 East 40th St, Savannah, GA 31401 | 2017-01-20 |
| 1427591791 | Catherine Naomi Spann | Licensed Practical Nurse | 107 B Fahm Street, Savannag, GA 31401 | 2016-11-18 |
| 1871952499 | Jesline Palmer | Case Manager/Care Coordinator | 466 Martin Luther King Blvd, Savanah, GA 31401 | 2016-02-11 |
| 1487012894 | Suzanne Waltman Coote | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2016-02-01 |
| 1356748032 | Beverly Weaver | Registered Nurse | 107 B Fahm St., Savannah, GA 31401 | 2014-11-25 |
| 1275938011 | Olukemi Olubajo | Dietitian, Registered | 125 Fahm Street, J C Lewis Primary Health Care Center, Savannah, GA 31401 | 2014-10-22 |
| 1346642279 | Kristin Jaski | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2014-09-23 |
| 1528497500 | Kathleen Alice Flynn | Nurse Practitioner | 1900 Abercorn Street, Suite 100, Savannah, GA 31401 | 2013-11-11 |
| 1306112248 | Elizabeth Windom Stewart | Nurse Practitioner | 300 Bull St Ste 102, Savannah, GA 31401 | 2012-03-26 |
| Find all providers in zip 31401 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033740733 | Angela Lynn Caramela | Licensed Practical Nurse | 114 Picket Row, Savannah, GA 31410-2527 | 2020-01-31 |
| 1720635394 | Ebony Nicole Davis | Licensed Practical Nurse | 169 Parkview Rd, Savannah, GA 31419-9671 | 2019-08-19 |
| 1528611167 | Ashley Walker | Licensed Practical Nurse | 122 Gilbert Ave, Savannah, GA 31408-3414 | 2019-07-23 |
| 1982166450 | Patricia Elaine Akbar | Licensed Practical Nurse | 12 Conservation Dr, Savannah, GA 31419-7548 | 2019-04-03 |
| 1447603626 | Martha Linan | Licensed Practical Nurse | 119 Wimbledon Dr, Savannah, GA 31419-9456 | 2016-07-22 |
| 1962855809 | Leonard Good | Licensed Practical Nurse | 126 Saint Ives Dr, Savannah, GA 31419-8917 | 2016-07-15 |
| 1619325735 | Marcy Mann | Licensed Practical Nurse | 1848 Hadden Rd, Savannah, NY 13146-9778 | 2016-05-31 |
| 1861866543 | Tonya Deneen Parker | Licensed Practical Nurse | 1344 Augusta Ave, Savannah, GA 31415-2063 | 2015-11-18 |
| 1790175263 | Elliott Dawkins | Licensed Practical Nurse | 2071 Grove Point Rd, Savannah, GA 31419-9753 | 2015-02-04 |
| 1962803395 | Constance Young | Licensed Practical Nurse | 240 Duncan Dr Bldg 1440, Tuttle Army Health Clinic, Savannah, GA 31409-5102 | 2014-09-04 |
| Find all providers in SAVANNAH | ||||
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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.