JESSICA DIXON SHRUM (NPI# 1194205351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194205351 |
| Entity Type | Individual |
| Full Name | JESSICA DIXON SHRUM |
| Credential | DNP, PMHNP-BC |
| Practice Address |
2606 Centennial Pl Tallahassee FL 32308-0572 |
| Practice Telephone | 8502050189 |
| Practice Fax Number | 8503292903 |
| Mailing Telephone | 8502050189 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
9343410 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2606 CENTENNIAL PL |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-0572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538110325 | Mark Clayton Strickland | Psychiatry & Neurology | 2606 Centennial Pl, Tallahassee, FL 32308-0572 | 2006-05-15 |
| 1538799408 | Holly O'toole | Registered Nurse | 2606 Centennial Pl, Tallahassee, FL 32308-0572 | 2020-01-20 |
| 1073173712 | Rebecca Jo Leeann Howell | Physician Assistant | 2606 Centennial Pl, Tallahassee, FL 32308-0572 | 2019-06-15 |
| 1780198655 | Katie Newman Mann | Nurse Practitioner | 2606 Centennial Pl, Tallahassee, FL 32308-0572 | 2017-11-29 |
| 1023533320 | Katharine Dudley Whealdon | Social Worker | 2606 Centennial Pl, Tallahassee, FL 32308-0572 | 2017-08-08 |
| 1740735851 | Kelly Sunshine | Nurse Practitioner | 2606 Centennial Pl, Tallahassee, FL 32308-0572 | 2016-08-18 |
| 1669820650 | Hillary Wooten | Marriage & Family Therapist | 2606 Centennial Pl, Tallahassee, FL 32308-0572 | 2016-05-31 |
| 1841694957 | Jeffrey Ferraro LLC | Psychiatry & Neurology | 2606 Centennial Pl, Tallahassee, FL 32308-0572 | 2014-10-17 |
| 1821492265 | Angela Jackson | Nurse Practitioner | 2606 Centennial Pl, Tallahassee, FL 32308 | 2014-10-14 |
| 1184974784 | Donna Kitch | Psychologist | 2606 Centennial Pl, Tallahassee, FL 32308-0572 | 2012-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184250813 | Ardythe Mcdowell | Nurse Practitioner | 1820 Miccosukee Cmns, Tallahassee, FL 32308-5432 | 2020-03-13 |
| 1992982219 | Stephen L Wright Phd | Nurse Practitioner | 1320 Cherry Laurel St, Tallahassee, FL 32308-5104 | 2008-01-29 |
| 1184254047 | Kristina Ann Rickman-sykes | Nurse Practitioner | 1820 Miccosukee Commons Dr, Tallahassee, FL 32308-5432 | 2020-01-20 |
| 1518465582 | Magenta Hall | Nurse Practitioner | 2626 Capital Medical Blvd, Tallahassee, FL 32308-4402 | 2018-01-24 |
| 1780198655 | Katie Newman Mann | Nurse Practitioner | 2606 Centennial Pl, Tallahassee, FL 32308-0572 | 2017-11-29 |
| 1740735851 | Kelly Sunshine | Nurse Practitioner | 2606 Centennial Pl, Tallahassee, FL 32308-0572 | 2016-08-18 |
| 1821492265 | Angela Jackson | Nurse Practitioner | 2606 Centennial Pl, Tallahassee, FL 32308 | 2014-10-14 |
| 1912338633 | Sandra Lenette Walker-lee | Nurse Practitioner | 2634 Capital Cir Ne, Tallahassee, FL 32308-4106 | 2013-12-05 |
| 1558641894 | Evelyn R. Smith | Nurse Practitioner | 2634 Capital Cir Ne, Tallahassee, FL 32308-4106 | 2011-08-18 |
| 1265744700 | Behavioral Health Associates, Inc. | Nurse Practitioner | 1367 E Lafayette St, Suite B, Tallahassee, FL 32301-4774 | 2010-07-13 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on JESSICA DIXON SHRUM.
| 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.