JESSICA ROBERTS, PLLC (NPI# 1477173516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477173516 |
| Entity Type | Organization |
| Organization Name | JESSICA ROBERTS, PLLC |
| Practice Address |
354 N Broadway St Tupelo MS 38804-3926 |
| Mailing Address |
117 Willow Oak Ct Tupelo MS 38801-4534 |
| Practice Telephone | 6623218028 |
| Mailing Telephone | 6623218028 |
| Enumeration Date | 2020-04-18 |
| Last Update Date | 2020-04-18 |
| Authorized Official Name | MRS. JESSICA ROBERTS (OWNER) |
| Authorized Official Telephone | 6623218028 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
354 N BROADWAY ST |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639726474 | Latesha Short | Counselor | 2434 S Eason Blvd # 1, Tupelo, MS 38804-6942 | 2019-08-26 |
| 1730661331 | Fair Park Counseling Pllc | Counselor | 210 E Main St Ste 2c, Tupelo, MS 38804-4017 | 2018-08-30 |
| 1710468863 | Wellness & Counseling Center of Tupelo LLC | Counselor | 499 Gloster Creek Vlg Ste F-5c, Tupelo, MS 38801-4600 | 2018-08-27 |
| 1316423205 | Corey Keith | Counselor | 6134 Park Heights Cir, Tupelo, MS 38801-6023 | 2018-07-14 |
| 1972037554 | Janet A Hardy | Counselor | 1202 Harrison St, Tupelo, MS 38801-5646 | 2017-04-20 |
| 1598126401 | Norris Lipsey | Counselor | 246 S Veterans Blvd, Tupelo, MS 38804-5022 | 2016-03-19 |
| 1356706535 | Donna Gail Thompson | Counselor | 699 Nation Hills Dr, Tupelo, MS 38804-6057 | 2015-12-15 |
| 1205215126 | Kana Crumby | Counselor | 499 S Gloster St, Tupelo, MS 38801-5539 | 2015-05-26 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| 1104190834 | Brandon Scott Lewis | Counselor | 1502 S Gloster St, Tupelo, MS 38801-6510 | 2012-02-27 |
| Find all providers in TUPELO | ||||
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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.