RICKY BERNARD CONWAY (NPI# 1225667488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225667488 |
| Entity Type | Individual |
| Full Name | RICKY BERNARD CONWAY |
| Credential | REGISTERED NURSE |
| Practice Address |
5732 Angle Drive Jackson MS 39206-3920 |
| Mailing Address |
5732 Angle Drive Jackson MS 39206 |
| Practice Telephone | 6018320616 |
| Mailing Telephone | 6018320616 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
860326 | MS | Nursing Service Providers |
| Street Address |
5732 ANGLE DRIVE |
| City | JACKSON |
| State | MS |
| Zip Code | 39206-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023661824 | Latoya Lanette Trunell | Occupational Therapy Assistant | 787 East Northside Drive, Jackson, MS 39206 | 2019-07-20 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| 1679065916 | Savannah Lee Zachry | Physical Therapist | 5140 Galaxie Dr Ste 108, Jackson, MS 39206 | 2018-06-02 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1841719903 | Yolanda Yvette Bell | Nurse Practitioner | 6064 Whitestone Rd, Jackson, MS 39206 | 2017-09-10 |
| 1760907117 | Anthony Brown Jr. | Physical Therapist | 5411 I-55 North, Jackson, MS 39206 | 2017-08-07 |
| 1114457132 | Ambric N Williams | Occupational Therapy Assistant | 6017 Whitestone Rd, Jackson, MS 39206 | 2017-06-13 |
| 1952835613 | Peak Chiropractic Care, LLC | Chiropractor | 4915 I-55 North, Suite 201b, Jackson, MS 39206 | 2017-04-19 |
| 1447798293 | Peterkin and Associates of Mississippi Inc | Community/Behavioral Health | 5155 Galaxie Drive, Suite F, Jackson, MS 39206 | 2017-02-01 |
| 1952844219 | Jennifer Penick | Counselor | 460 Briarwood Drive, Suite 510, Jackson, MS 39206 | 2016-11-18 |
| Find all providers in zip 39206 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508309675 | Amanda Veazey | Registered Nurse | 1325 E Fortification St, Jackson, MS 39202-2442 | 2016-11-22 |
| 1710256037 | Fanika Shuntae Herbert | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2011-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309298 | Jaleesa Nicole Williams | Registered Nurse | 330b Highway 90, Gautier, MS 39553-5744 | 2019-07-30 |
| 1568930469 | Bathsheba Brown | Registered Nurse | 760 Brookman Dr Ext, Brookhaven, MS 39601-2340 | 2018-11-08 |
| 1760983969 | Annie Hibbler Pierson | Registered Nurse | 27 Britt Rd, Indianola, MS 38751-2793 | 2018-02-22 |
| 1679080568 | Catrina Deshan Lockhart | Registered Nurse | 472 Highway 35, Collins, MS 39428-6216 | 2018-01-02 |
| 1417341512 | Rose Evans | Registered Nurse | 1011 Pinecrest Dr, Mccomb, MS 39648-8285 | 2015-03-26 |
| 1336608595 | Michael J Necaise | Registered Nurse | 4500 13th St, Gulfport, MS 39501-2569 | 2019-03-18 |
| 1053884106 | Jennifer Elaine Pickens | Registered Nurse | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2019-01-10 |
| 1124400411 | Rodney T Biggs | Registered Nurse | 104 Burney Dr, Flowood, MS 39232-6621 | 2015-06-23 |
| 1588808836 | Donna Sue Bosco | Registered Nurse | 4507 Hospital St, Pascagoula, MS 39581-5336 | 2009-04-29 |
| 1003960907 | Constance Bradford | Registered Nurse | 202 Jefferson St, Newhebron, MS 39140-3809 | 2007-01-22 |
| Find all providers with the same taxonomy | ||||
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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.