JESSICA LYNN GARGUS (NPI# 1255309506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255309506 |
| Entity Type | Individual |
| Full Name | JESSICA LYNN GARGUS |
| Credential | ARNP |
| Practice Address |
1210 Johnson Blvd Ste 3 Murray KY 42071-2973 |
| Mailing Address |
2700 Stanley Gault Pkwy Ste 129 Louisville KY 40223-5176 |
| Practice Telephone | 2707594098 |
| Practice Fax Number | 2707614131 |
| Mailing Telephone | 2703263949 |
| Mailing Fax Number | 5024895751 |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
3004694 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78016318 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4754 Us Highway 62, Calvert City, KY 420298456 | 2704157780 | 2704157779 |
| Street Address |
1210 JOHNSON BLVD STE 3 |
| City | MURRAY |
| State | KY |
| Zip Code | 42071-2973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989347 | Roy Berry Mckendree | Pharmacist | 208 N 12th, Murray, KY 42071 | 2019-12-20 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1205335346 | Elevation Dentistry Pllc | Dentist | 1710 Hwy 121 N. Byp. Ste A, Murray, KY 42071 | 2018-02-05 |
| 1114431715 | Devin Cassity | Specialist/Technologist | Roy Stewart Stadium Gibert Graves Drive, Murray, KY 42071 | 2017-11-20 |
| 1881146033 | Alliance Health Care, LLC | General Practice | 1710 D State Route 121 North, Murray, KY 42071 | 2016-11-03 |
| 1780039529 | Kelli Bathon | Developmental Therapist | 1988 Rowlett Trl, Murray, KY 42071 | 2016-04-29 |
| 1184060287 | William D Dewees | Veterinarian | Carman Pavilion/100 Aht Center/college Farm Road, Murray State University, Murray, KY 42071 | 2013-05-15 |
| 1467719674 | Anna Jayjock | Dentist | 700 Whitnell Avenue, Murray, KY 42071 | 2012-04-12 |
| 1629380704 | Michael James Bordieri | Psychologist | 401c Wells Hall, Murray State University, Murray, KY 42071 | 2010-07-06 |
| 1760706501 | Patrick William Thornton | Chiropractor | 408 South 12th Street, Murray, KY 42071 | 2010-03-23 |
| Find all providers in zip 42071 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831691393 | Sandra Lee Stoker | Nurse Practitioner | Intermountain Medical Center - Ricu, 5121 S. Cottonwood St., Bldg. 5, Level 5, Murray, UT 84157 | 2018-03-01 |
| 1003162215 | Michael Christensen | Nurse Practitioner | 5802 S 900 E Unit 1, Murray, UT 84121-1644 | 2012-07-25 |
| 1740583863 | Jodi M Olson | Nurse Practitioner | 308 E 4500 S Ste 175, Murray, UT 84107-3977 | 2010-12-11 |
| 1447425897 | Jennifer Abigale Jurynec | Nurse Practitioner | 5121 South Cottonwood St., Murray, UT 84157 | 2008-04-28 |
| 1497389233 | Amber Lauren Ashby | Nurse Practitioner | 300 S 8th St Ste 182w, Murray, KY 42071-2444 | 2020-03-02 |
| 1164055109 | Karissa Keagan Jackson | Nurse Practitioner | 5171 S Cottonwood St Ste 950, Murray, UT 84107-5713 | 2020-02-18 |
| 1871138313 | Cassandra J. Garcia | Nurse Practitioner | 5121 S Cottonwood St, Murray, UT 84107 | 2019-11-07 |
| 1003462482 | Kristy Bentley | Nurse Practitioner | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2019-08-12 |
| 1275188468 | Florin Butuc | Nurse Practitioner | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2019-08-05 |
| 1588224604 | John T Michael | Nurse Practitioner | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2019-06-20 |
| Find all providers in MURRAY | ||||
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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.