JOHN FRANKLIN NISWONGER (NPI# 1215537220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215537220 |
| Entity Type | Individual |
| Full Name | JOHN FRANKLIN NISWONGER |
| Other Name | JOHNNY FRANKLIN NISWONGER |
| Credential | AGNP-C |
| Practice Address |
861 Canyon Trl Jackson MO 63755-4001 |
| Practice Telephone | 5738372390 |
| Mailing Telephone | 5738372390 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2020034604 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
861 CANYON TRL |
| City | JACKSON |
| State | MO |
| Zip Code | 63755-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942847413 | Southeast Hospital | Pharmacy | 2600 E. Main Street, Suite 113, Jackson, MO 63755 | 2019-12-04 |
| 1215438585 | The Villas of Jackson LLC | Assisted Living Facility | 670 Broadridge, Jackson, MO 63755 | 2018-02-22 |
| 1346637865 | Vitality Clinic | Health Educator | 111 N. Missouri Street, Jackson, MO 63755 | 2015-04-22 |
| 1144569567 | Rock Care In Home Services, LLC | Nursing Care | 204 S Union Ave, Jackson, MO 63755 | 2013-02-05 |
| 1447506381 | Morgan Allyce Strand | Optometrist | 2954 E. Jackson Blvd, Jackson, MO 63755 | 2012-07-30 |
| 1154689321 | Benjamin Gail Goodier | Dentist | 3100 East Jackson Blvd., Jackson, MO 63755 | 2012-04-25 |
| 1912278987 | Guardian Angels Homecare, LLC | Nursing Care | 1335 Old Cape Rd., Suite F, Jackson, MO 63755 | 2012-01-23 |
| 1528357829 | Sydney Nicole Cheek | Technician, Other | 107 Cottonwood St., Jackson, MO 63755 | 2011-04-07 |
| 1215162920 | Troy L Bell Od & Associates, PC | Optometrist | 2594 E Jackson Blvd, Jackson, MO 63755 | 2009-05-26 |
| 1932398021 | Immediate Healthcare, Inc. | General Practice | 1508 Edgemont Blvd, Perryville, MO 63755 | 2007-10-15 |
| Find all providers in zip 63755 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421746 | Rebecca Mcwhirter | Nurse Practitioner | 1512 Roswell Dr, Jackson, MS 39211-5928 | 2020-06-08 |
| 1023656642 | Nicole Lynn Mckee | Nurse Practitioner | 170 Bridge St, Jackson, OH 45640-1144 | 2019-12-13 |
| 1104387695 | Chatina Spears Martin | Nurse Practitioner | 308 Melba Hill Dr, Jackson, MS 39209-2833 | 2019-03-27 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1942649686 | Jennifer Annette Paulson | Nurse Practitioner | 113 W Michigan Ave Ste 201, Jackson, MI 49201-1340 | 2013-06-16 |
| 1770880171 | Tracy Little | Nurse Practitioner | 2782 N Highland Ave Ste C, Jackson, TN 38305-1797 | 2011-02-21 |
| 1750554267 | Barbara Darlington | Nurse Practitioner | 14 Abes Way, Jackson, NJ 08527-4440 | 2008-04-04 |
| 1902075401 | Dana Leanne Wilhite | Nurse Practitioner | 38 Abbey Pl, Jackson, TN 38305-1794 | 2008-02-28 |
| 1659550036 | Kristen Elizabeth Tweedy | Nurse Practitioner | 1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850 | 2007-11-01 |
| 1104959345 | Lynne W Forrette | Nurse Practitioner | 255 New York Ranch Rd, Suite C, Jackson, CA 95642-2174 | 2007-03-14 |
| 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.