WHITEHEAD WOUND CARE PLLC (NPI# 1225516354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225516354 |
| Entity Type | Organization |
| Organization Name | WHITEHEAD WOUND CARE PLLC |
| Practice Address |
427 Highway 51 N Brookhaven MS 39601-2350 |
| Mailing Address |
Po Box 756 Centreville MS 39631-0756 |
| Practice Telephone | 6018359444 |
| Mailing Telephone | 6013952585 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |
| Authorized Official Name | MRS. LESA COLLEEN WHITEHEAD (NP-C) |
| Authorized Official Telephone | 6013952585 |
| Authorized Official Credential | NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R853722 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06475799 | 05 |
| Street Address |
427 HIGHWAY 51 N |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503464 | King's Daughters Medical Center | General Acute Care Hospital | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2005-07-26 |
| 1073153433 | Justin Douglas | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2020-01-13 |
| 1427698885 | Linda Hughes | Specialist/Technologist, Other | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2020-01-13 |
| 1952941312 | Thomas Mcmahon | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2020-01-13 |
| 1922653849 | Tonya M Rushing | Nurse Practitioner | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2019-08-07 |
| 1083271407 | Monica Graves Eubanks | Nurse Practitioner | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2019-05-21 |
| 1609311802 | Marcus L Johnson | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2016-12-23 |
| 1033549076 | Amy Katheryn Case | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2013-11-12 |
| 1639501380 | Tyler Thompson | Nurse Practitioner | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2013-08-05 |
| 1295005478 | Daniel Ben Goza | Nurse Anesthetist, Certified Registered | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2012-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946018 | Jacob Warren Spring | Nurse Practitioner | 414 Hardy Ln, Brookhaven, MS 39601-4046 | 2020-09-09 |
| 1306464425 | Mollie Maria Bowman | Nurse Practitioner | 2165 Prestwick Ct Ne, Brookhaven, GA 30319-4083 | 2020-07-07 |
| 1013534478 | Candace Laird Duckworth | Nurse Practitioner | 1578 Shanna Ln Nw, Brookhaven, MS 39601-4420 | 2020-07-01 |
| 1750748729 | Babatunde Adenusi | Nurse Practitioner | 435 W Brookhaven Rd, Brookhaven, PA 19015-1801 | 2016-01-21 |
| 1265825962 | Leah Smith Mcgehee | Nurse Practitioner | 201 Highway 51 N Ste A, Brookhaven, MS 39601-2653 | 2015-03-05 |
| 1598011090 | Carolyn Sandra Hayes-dozier | Nurse Practitioner | 1616 Powell Rd, Brookhaven, PA 19015-1934 | 2012-08-02 |
| 1215297239 | Lorraine Claudia Blagman | Nurse Practitioner | 4021 Woodworth Rd, Brookhaven, PA 19015-1913 | 2012-05-23 |
| 1386658763 | Catherine W. Knott | Nurse Practitioner | 950 Brookman Blvd, Brookhaven, MS 39601 | 2006-07-28 |
| 1689659864 | Brookhaven Anesthesia & Pain Management | Nurse Practitioner | 1024 D A Biglane Dr, Brookhaven, MS 39601-2331 | 2005-12-12 |
| 1679107692 | Tucker Lee Brady | Nurse Practitioner | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2020-02-28 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
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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.