MS. MARTHA M CLINTON (NPI# 1306896386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306896386 |
Entity Type | Individual |
Full Name | MS. MARTHA M CLINTON |
Credential | FNP-BC |
Practice Address |
565 N. Robinson Street Senatobia MS 38668 |
Mailing Address |
1445 Ross Ave Ste 1400 Dallas TX 75202-2703 |
Practice Telephone | 6625604313 |
Practice Fax Number | 6625604383 |
Mailing Telephone | 4698936580 |
Mailing Fax Number | 4698937580 |
Enumeration Date | 2006-05-11 |
Last Update Date | 2018-05-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R672491 | MS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | CAQH | 11618104 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245237726 | Martha W Clinton | Nurse Practitioner | 208 Prince St, Sevierville, TN 37862-3821 | 2005-06-30 |
Street Address |
565 N. ROBINSON STREET |
City | SENATOBIA |
State | MS |
Zip Code | 38668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992303010 | Northwest Health and Wellness, Inc | Clinic/Center | 215 Northwest Drive, Senatobia, MS 38668 | 2020-10-12 |
1689218307 | Linda Fay Butler | Technician | 341 Springfield Road, Senatobia, MS 38668 | 2019-11-06 |
1992044754 | Lara J Hayes | Counselor | 1471 Highway 51 S, Senatobia, MS 38668 | 2013-02-13 |
1174653737 | William L Alford | Dentist | 26 Westwood Drive, Senatobia, MS 38668 | 2007-03-06 |
1265576995 | Mays Pharmacy | Durable Medical Equipment & Medical Supplies | 4385 Hwy 51 South, Senatobia, MS 38668 | 2007-02-16 |
1902990997 | Purnima R Purohit | Obstetrics & Gynecology | 135 Keating Rd, Senatobia, MS 38668 | 2006-10-03 |
1356457576 | Jason Andre Cooper | Specialist/Technologist | 214 East Main St., Senatobia, MS 38668 | 2006-08-21 |
1215490214 | Janet Giron-legarda | Case Manager/Care Coordinator | 101 Preston Mckay Dr, Senatobia, MS 38668 | 2019-04-08 |
1558692582 | Tate Family Dentistry, L.L.C. | Dentist | 26 Westwood Drive, Senatobia, MS 38668 | 2010-01-14 |
1306986138 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 401 Getwell Dr, Senatobia, MS 38668 | 2007-02-08 |
Find all providers in zip 38668 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932664562 | Jennifer Michelle Heindl | Nurse Practitioner | 419 Northwest Dr, Senatobia, MS 38668-2586 | 2019-02-07 |
1932115094 | Anna Mary Meyers | Nurse Practitioner | 104 N Robinson St, Senatobia, MS 38668-2149 | 2006-07-31 |
1851364228 | Tina D Highfill | Nurse Practitioner | 4364 Highway 51 S, Senatobia, MS 38668-2534 | 2006-02-08 |
1184629206 | Beverly Briscoe | Nurse Practitioner | 403 Getwell Dr, Ste B, Senatobia, MS 38668-2231 | 2005-06-15 |
1831193440 | Anita Golden-simmons | Nurse Practitioner | 403 Getwell Dr Ste B, Senatobia, MS 38668-2231 | 2005-06-10 |
1962038943 | Bynithia Cole | Nurse Practitioner | 105a Quality Ln, Senatobia, MS 38668-2317 | 2020-03-21 |
1730692914 | Kenneth Wayne Hawkins Jr. | Nurse Practitioner | 4364 Highway 51 S, Senatobia, MS 38668-2534 | 2017-11-10 |
1063866077 | Showanda Mckay | Nurse Practitioner | 300 E Main Street Plz, Senatobia, MS 38668-2227 | 2016-04-15 |
1942607130 | Sarah Perkins | Nurse Practitioner | 300 E Main Street Plz, Senatobia, MS 38668-2227 | 2014-12-03 |
1760723779 | Kayla Sue Massey | Nurse Practitioner | 300 E Main Street Plz, Senatobia, MS 38668-2227 | 2013-03-15 |
Find all providers in SENATOBIA |
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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.