JERREL WYNN (NPI# 1417496399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417496399 |
| Entity Type | Individual |
| Full Name | JERREL WYNN |
| Practice Address |
222 Shadowbrook Ln Ne Huntsville AL 35811-8203 |
| Practice Telephone | 2567010998 |
| Practice Fax Number | 2563847648 |
| Mailing Telephone | 2567010998 |
| Mailing Fax Number | 2563847648 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | Transportation Services |
| Street Address |
222 SHADOWBROOK LN NE |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35811-8203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053800425 | Roselyne E Machen | Nurse Practitioner | 274 Dinner Tree Square, Huntsville, AL 35811 | 2018-05-01 |
| 1245748839 | Annie Lauryl Wilkerson | Specialist/Technologist | 4900 Meridian Street, Huntsville, AL 35811 | 2018-01-17 |
| 1326565615 | Alabama A&m University | Counselor | 4011 Meridian Street, Huntsville, AL 35811 | 2017-08-28 |
| 1982150132 | Jasmine C Felder | Physical Therapist | 3016 Moorse Mill Rd, Suite B, Huntsville, AL 35811 | 2016-08-28 |
| 1972939874 | Frederica Crutcher | Technician, Other | 198 Ford Circle, Huntsville, AL 35811 | 2013-09-24 |
| 1407081557 | Stacie Peek Wilson | Skilled Nursing Facility | 2701 Meridian Street North, Huntsville, AL 35811 | 2009-05-19 |
| 1831220193 | Madison Medical Services | Clinic/Center | 103 Hickory Glen Circle, Huntsville, AL 35811 | 2007-03-08 |
| 1902900475 | Chase Chiropractic Center | Chiropractor | 5175 Moores Mill Road, Huntsville, AL 35811 | 2006-09-12 |
| 1013911767 | Lindalee Clayton | Dentist | 1392 Jordan Road Ste A, Huntsville, AL 35811 | 2005-06-10 |
| 1285180927 | Christine Muller | Specialist/Technologist | 4900 Meridian St N, Huntsville, AL 35811 | 2016-09-01 |
| Find all providers in zip 35811 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518583442 | Latonia Davis | Private Vehicle | 438 Lee Road 2090, Phenix City, AL 36870-1075 | 2020-06-16 |
| 1528694056 | Phlebotomy Services of America LLC | Private Vehicle | 1900 Corporate Dr # 382254, Birmingham, AL 35242-2723 | 2020-03-16 |
| 1013548122 | Julia Jones | Private Vehicle | 55 Raines Ave, Montgomery, AL 36108-4746 | 2020-01-28 |
| 1598308744 | Moovmo LLC | Private Vehicle | 651 Beacon Pkwy W Ste 204, Birmingham, AL 35209-3128 | 2019-10-21 |
| 1639711344 | John Natravis Kinnion | Private Vehicle | 6312 Sonnie Ct, Montgomery, AL 36117-4538 | 2019-10-14 |
| 1104474717 | Justin T Goad | Private Vehicle | 4821 County Road 24, Florence, AL 35634-5725 | 2019-08-27 |
| 1669944807 | Raymond Bahakel | Private Vehicle | 4501 Cypress Creek Ave E, Tuscaloosa, AL 35405-4417 | 2018-12-28 |
| 1164945523 | Rhonda Patterson | Private Vehicle | 9 Whiterock Rd, Phenix City, AL 36869-5403 | 2017-07-18 |
| 1851746010 | Patty Stallworth | Private Vehicle | 273 Azalea Rd Bldg 1, Suite 100, Mobile, AL 36609-1970 | 2016-04-25 |
| 1124656293 | Divine Touch Home Help Services LLC | Private Vehicle | 420 Avenue G, Birmingham, AL 35214-5432 | 2020-04-01 |
| Find all providers with the same taxonomy | ||||
| City | HUNTSVILLE |
| Zip Code | 35811 |
Please comment or provide details below to improve the information on JERREL WYNN.
| 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.