JACOB WARREN SPRING (NPI# 1255946018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255946018 |
| Entity Type | Individual |
| Full Name | JACOB WARREN SPRING |
| Credential | FNP |
| Practice Address |
414 Hardy Ln Brookhaven MS 39601-4046 |
| Practice Telephone | 6013206886 |
| Mailing Telephone | 6013206886 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
893703 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 893703 | MS | Student, Health Care |
| Street Address |
414 HARDY LN |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-4046 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499748 | Krista Stocke | Student in an Organized Health Care Education/Training Program | 1413 Brookhaven Cir Ne, Brookhaven, GA 30319-5412 | 2020-05-23 |
| 1336778745 | Donald Anderson Fearn | Student in an Organized Health Care Education/Training Program | 698 Watts Ln Nw, Brookhaven, MS 39601-9417 | 2020-04-07 |
| 1851886063 | Maitreyee Rai | Student in an Organized Health Care Education/Training Program | 1100 Albert Rd Apt A19, Brookhaven, PA 19015-2012 | 2018-06-29 |
| 1902391675 | Purna Sharma | Student in an Organized Health Care Education/Training Program | 532 W Brookhaven Rd Apt H28, Brookhaven, PA 19015-1833 | 2018-06-26 |
| 1609361377 | Kumar Ashish | Student in an Organized Health Care Education/Training Program | 532 W Brookhaven Rd Apt K24, Brookhaven, PA 19015-1805 | 2018-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049928 | Jillian Christina Smith | Student in an Organized Health Care Education/Training Program | 91570 Highway 42, Richton, MS 39476-9708 | 2020-09-28 |
| 1487261087 | William Andrew Harrelson | Student in an Organized Health Care Education/Training Program | 215 Union Line Rd, Laurel, MS 39443-0772 | 2020-09-28 |
| 1114534922 | Brianna Danielle Morris | Student in an Organized Health Care Education/Training Program | 415 Gatewood Dr, Pearl, MS 39208-4409 | 2020-09-25 |
| 1942817838 | Ebony Symone' Woodson | Student in an Organized Health Care Education/Training Program | 288 Mount Helm Rd, Brandon, MS 39047-8462 | 2020-09-25 |
| 1093322885 | Danna Shaye Jackson | Student in an Organized Health Care Education/Training Program | 115 Howard Heights Rd, Poplarville, MS 39470-7454 | 2020-09-25 |
| 1972110963 | Akira Keyana Baker | Student in an Organized Health Care Education/Training Program | 415 N Ione St, Tupelo, MS 38801-3116 | 2020-09-24 |
| 1043827900 | Carla Odom | Student in an Organized Health Care Education/Training Program | 963 Taylor Rd, Kokomo, MS 39643-4967 | 2020-09-24 |
| 1902413974 | Katharine Bogard | Student in an Organized Health Care Education/Training Program | 2032 Tuilleries Cv, Biloxi, MS 39531-2423 | 2020-09-24 |
| 1023624137 | Daysi Lisett Zanzon | Student in an Organized Health Care Education/Training Program | 210 S Lowe St, Hazlehurst, MS 39083-3017 | 2020-09-23 |
| 1922614171 | Kathleen Michele Tate | Student in an Organized Health Care Education/Training Program | 2412 Meadow Oak, Flowood, MS 39232-8780 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
Please comment or provide details below to improve the information on JACOB WARREN SPRING.
| 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.