MRS. JESSICA L WALLER (NPI# 1457952558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457952558 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA L WALLER |
| Other Name | MRS. JESSICA L WALLER |
| Credential | FNP-C |
| Practice Address |
3804 Highway 377 S Brownwood TX 76801-5120 |
| Mailing Address |
1801 12th St Brownwood TX 76801-5305 |
| Practice Telephone | 3256435167 |
| Mailing Telephone | 3252030072 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1018050 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194333732 | Jessica Ann Waller | Social Worker | 2731 Clapham Ln, Minden, NV 89423-9235 | 2020-07-20 |
| 1023497484 | Jessica Waller | Nurse's Aide | 180 White St, Danville, VA 24540-3848 | 2015-05-19 |
| 1306319223 | Jessica Price D'argenio Waller | Nutritionist | 2000 Girard Ave, Baltimore, MD 21211-1595 | 2019-01-03 |
| Street Address |
3804 HIGHWAY 377 S |
| City | BROWNWOOD |
| State | TX |
| Zip Code | 76801-5120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255304564 | Nicholas R Hagood | Physician Assistant | 3804 Highway 377 S, Brownwood, TX 76801-5120 | 2006-02-08 |
| 1427532688 | Ann Jones | Nurse Practitioner | 3804 Highway 377 S, Brownwood, TX 76801-5120 | 2018-09-23 |
| 1538683024 | James Hollon | Nurse Practitioner | 3804 Highway 377 S, Brownwood, TX 76801-5120 | 2017-07-27 |
| 1932654142 | Elizabeth Miller | Nurse Practitioner | 3804 Highway 377 S, Brownwood, TX 76801-5120 | 2016-08-17 |
| 1952774549 | Cheryl Lynn Lucas | Nurse Practitioner | 3804 Highway 377 S, Brownwood, TX 76801-5120 | 2015-11-05 |
| 1770820383 | Dawn James | Counselor | 3804 Highway 377 S, Brownwood, TX 76801-5120 | 2013-01-16 |
| 1750520813 | Klarisa Posey | Nurse Practitioner | 3804 Highway 377 S, Brownwood, TX 76801-5120 | 2009-02-13 |
| 1366611261 | David Melton O'dell | Obstetrics & Gynecology | 3804 Highway 377 S, Brownwood, TX 76801-5120 | 2008-02-25 |
| 1588778260 | Cross Timbers Health Clinics, Inc. | Clinic/Center | 3804 Highway 377 S, Brownwood, TX 76801-5120 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902388374 | Jessica Moreno | Licensed Vocational Nurse | 1401 Indian Creek Dr, Brownwood, TX 76801 | 2018-09-03 |
| 1801314232 | Patrick M. Padgett | Hearing Instrument Specialist | 2510 Crockett Dr. Ste. A, Brownwood, TX 76801 | 2017-09-06 |
| 1376061911 | Alisandra Margaret Dirickson | Physician Assistant | 101 A South Park Drive, Brownwood, TX 76801 | 2017-09-05 |
| 1629441654 | Hennepin Dialysis LLC | Clinic/Center | 2511 Crockett Dr, Brownwood, TX 76801 | 2015-11-13 |
| 1164893889 | Shannon Lynn Young Delacruz | Nurse Practitioner | 302 E Commerce, Brownwood, TX 76801 | 2015-10-08 |
| 1295125821 | David George Curtis | General Practice | 611 Fm 3254, Brownwood, TX 76801 | 2015-02-04 |
| 1619371374 | Sanketkumar Parikh | Pharmacist | 200 West Commerce Street, 377 Villas, Brownwood, TX 76801 | 2014-10-09 |
| 1144621384 | Timothy Leon Taylor | Counselor | 408 Mulberry St., Brownwood, TX 76801 | 2014-09-08 |
| 1851667521 | Lee Healthcare Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 118 B Southpark Dr., Brownwood, TX 76801 | 2012-03-28 |
| 1619261302 | Ginger Rebecca Smith | Counselor | 408 Mulberry, Brownwood, TX 76801 | 2011-05-31 |
| Find all providers in zip 76801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326585175 | Christopher Sutton | Nurse Practitioner | 801 Early Blvd Ste 200, Brownwood, TX 76802-2179 | 2017-01-31 |
| 1164893889 | Shannon Lynn Young Delacruz | Nurse Practitioner | 302 E Commerce, Brownwood, TX 76801 | 2015-10-08 |
| 1821635475 | Skye D Altieri | Nurse Practitioner | 2371 Crockett Dr Ste 102, Brownwood, TX 76801-5994 | 2019-12-03 |
| 1427532688 | Ann Jones | Nurse Practitioner | 3804 Highway 377 S, Brownwood, TX 76801-5120 | 2018-09-23 |
| 1538683024 | James Hollon | Nurse Practitioner | 3804 Highway 377 S, Brownwood, TX 76801-5120 | 2017-07-27 |
| 1356875041 | Pamela Sue Worthington | Nurse Practitioner | 123 S Park Dr, Brownwood, TX 76801-5917 | 2017-04-19 |
| 1932654142 | Elizabeth Miller | Nurse Practitioner | 3804 Highway 377 S, Brownwood, TX 76801-5120 | 2016-08-17 |
| 1043587124 | Tanja Morgan | Nurse Practitioner | 109 S Park Dr, Brownwood, TX 76801-5917 | 2011-11-17 |
| 1235416470 | Alexis Stephens | Nurse Practitioner | 120 S Park Dr Ste C, Brownwood, TX 76801-5958 | 2011-11-15 |
| 1679896856 | Elizabeth Vallejo | Nurse Practitioner | 100 S Park Dr, Brownwood, TX 76801-5918 | 2010-03-02 |
| Find all providers in BROWNWOOD | ||||
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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.