JESSICA T FUSSELL (NPI# 1366779175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366779175 |
| Entity Type | Individual |
| Full Name | JESSICA T FUSSELL |
| Credential | PA |
| Practice Address |
703 E Prudhomme St Opelousas LA 70570-6494 |
| Mailing Address |
120 Rue Louis Xiv Lafayette LA 70508-5739 |
| Practice Telephone | 3379427192 |
| Practice Fax Number | 3379425940 |
| Mailing Telephone | 3377697779 |
| Mailing Fax Number | 3377697788 |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2017-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA200328 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
703 E PRUDHOMME ST |
| City | OPELOUSAS |
| State | LA |
| Zip Code | 70570-6494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317016 | Opelousas General Health System | Surgery | 703 E Prudhomme St, Suite 1, Opelousas, LA 70570-6494 | 2005-06-23 |
| 1013209329 | Mark Andrew Sicard | Surgery | 703 E Prudhomme St, Opelousas, LA 70570-6494 | 2011-05-04 |
| 1275794679 | Opelousas General Health System | Surgery | 703 E Prudhomme St, Suite 3, Opelousas, LA 70570-6494 | 2008-06-19 |
| 1255598223 | Opelousas General Health System | Surgery | 703 E Prudhomme St, Suite 2, Opelousas, LA 70570-6494 | 2008-05-19 |
| 1528278819 | Salvador H Vazquez | Surgery | 703 E Prudhomme St, Opelousas, LA 70570-6494 | 2007-05-23 |
| 1659428332 | Louis M Corne Jr Md LLC | Surgery | 703 E Prudhomme St, Opelousas, LA 70570-6494 | 2007-01-04 |
| 1649294398 | Eric Amy | Surgery | 703 E Prudhomme St, Opelousas, LA 70570-6494 | 2006-07-26 |
| 1154328292 | Thomas A Castille | Surgery | 703 E Prudhomme St, Opelousas, LA 70570-6494 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821608282 | Dream Angels Agency | Home Health | 356 Country Ridge Rd., 21, Opelousas, LA 70570 | 2020-07-31 |
| 1588286389 | Kasey Dunn | Nurse Practitioner | 3983 Interstate-49 South Service Rd., Suite 103, Opelousas, LA 70570 | 2020-05-14 |
| 1538704010 | Southern Family Medicine, LLC | Nurse Practitioner | 10818 Hwy. 190, Opelousas, LA 70570 | 2019-11-08 |
| 1952952061 | Check Point Urgent Care | Clinic/Center | 2331 S Union Street, Opelousas, LA 70570 | 2019-09-20 |
| 1639734015 | Southern Pharmacy LLC | Pharmacy | 3939 I-49 South Service Rd., Opelousas, LA 70570 | 2019-05-01 |
| 1245708452 | Anthony Ray Parker Jr. | Case Manager/Care Coordinator | 208 Ballard Loop, Opelousas, LA 70570 | 2018-11-06 |
| 1306329511 | Katherine D Trahan | Pharmacy | 3935 I-49 South Service Rd, Opelousas, LA 70570 | 2018-09-13 |
| 1548752942 | Justin Y Auzenne | Driver | 230 Lemelle St, Opelousas, LA 70570 | 2018-05-31 |
| 1063920650 | Laykin Bellard | Nurse Practitioner | 3975 I-49 Frontage Rd, Suite 201, Opelousas, LA 70570 | 2018-01-17 |
| 1124535562 | Lisa M Miller | Counselor | 1211 Austin Rd, Opelousas, LA 70570 | 2018-01-08 |
| Find all providers in zip 70570 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184102451 | Brittnei Picard I | Physician Assistant | 1233 Wayne Gilmore Cir Ste 250a, Opelousas, LA 70570-6405 | 2018-07-30 |
| 1437492717 | Opelousas Physician Services LLC | Physician Assistant | 539 E Prudhomme St, Opelousas, LA 70570-6499 | 2013-04-04 |
| 1497034623 | Mary Beth Fruge | Physician Assistant | 2967 S Union St, Opelousas, LA 70570-5740 | 2011-08-04 |
| 1710999669 | Patty R Fontenot | Physician Assistant | 1270 Attakapas Dr, Suite 201, Opelousas, LA 70570-6549 | 2006-08-12 |
| 1750312468 | Mark George Nelson | Physician Assistant | 4015 Hwy I 49 South Service Rd, Opelousas, LA 70570 | 2006-07-05 |
| 1962453365 | Aaron James Blanchard | Physician Assistant | 1233 Wayne Gilmore Circle, Stuite 250 B, Opelousas, LA 70570 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093478 | Alexis Kylie Spence | Physician Assistant | 1668 Us 51 N, Ponchatoula, LA 70454 | 2020-11-02 |
| 1134728769 | Hannah Michael | Physician Assistant | 8249 Vincent Rd, Denham Springs, LA 70726-6279 | 2020-10-24 |
| 1366041402 | Dillon Michael Kelly | Physician Assistant | 1214 Coolidge St., Lafayette, LA 70503-2621 | 2020-10-20 |
| 1710584263 | Kaycie Fontenot Setliff | Physician Assistant | 1111 Medical Center Blvd Ste North406, Marrero, LA 70072-3151 | 2020-10-07 |
| 1669089389 | Emily Marie Bruce | Physician Assistant | 112 Peytral Dr, Raceland, LA 70394-2016 | 2020-09-27 |
| 1740891431 | Haley Webre | Physician Assistant | 110 Avery St, Luling, LA 70070-2180 | 2020-08-14 |
| 1508474958 | Katherine Whittington | Physician Assistant | 778 Albert Hart Dr, Baton Rouge, LA 70808-5805 | 2020-07-21 |
| 1629693502 | Laura Rose Murray | Physician Assistant | 330 Julia St Apt 308, New Orleans, LA 70130-3682 | 2020-06-16 |
| 1639793714 | Lillian Madin | Physician Assistant | 3312 Dumaine St, New Orleans, LA 70119-3911 | 2020-06-03 |
| 1043832579 | Sarah Hassien Daigle | Physician Assistant | 324 Madison Crossing Dr, Sulphur, LA 70665-8791 | 2020-05-06 |
| 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.