JENNIFER EDEN MCDANIEL


Address: 2500 N State St, Jackson, MS 39216-4500
Phone: 6018158151

JENNIFER EDEN MCDANIEL (NPI# 1497052211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497052211
Entity Type Individual
Full Name JENNIFER EDEN MCDANIEL
Credential CPNP-AC
Practice Address 2500 N State St
Jackson
MS 39216-4500
Practice Telephone 6018158151
Practice Fax Number 6018158152
Mailing Telephone 6018158151
Mailing Fax Number 6018158152
Enumeration Date 2011-02-14
Last Update Date 2017-04-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0222X Nurse Practitioner
Specialization: Pediatrics, Critical Care
R858523 MS Physician Assistants & Advanced Practice Nursing Providers

Other Providers JENNIFER MCDANIEL

NPI Name Taxonomy Address Enumeration
1780926923 Jennifer Kendra Mcdaniel Registered Nurse 2524 Derby Way, Sevierville, TN 37876-5410 2013-03-26
1710268107 Jennifer A Mcdaniel Massage Therapist 15309 Sun Dance Ln, Youngstown, FL 32466-1846 2011-08-30
1184899742 Jennifer Irene Mcdaniel Occupational Therapist 845 Woodmont Ct, Chico, CA 95926-7161 2008-04-24
1386852192 Jennifer Erin Mcdaniel Developmental Therapist 1871 Ardwick Rd, Columbus, OH 43220-4453 2007-05-18
1437293693 Jennifer M. Mcdaniel Speech-Language Pathologist 208 E Easy St, Fort Pierce, FL 34982-3957 2007-02-19
1508405788 Jennifer Louise Mcdaniel Dietitian, Registered 230 S Bemiston Ave Ste 430, Saint Louis, MO 63105-1907 2020-01-05
1528538634 Jennifer Mcdaniel Nurse Anesthetist, Certified Registered 80 Seymour St, Hartford, CT 06102-8000 2018-12-01
1598250714 Jennifer Mcdaniel Anesthesiologist Assistant 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 2018-06-29
1073972022 Jennifer Bridget Mcdaniel Counselor 702 San Pedro Ave, San Antonio, TX 78212-4610 2016-02-18
1619390796 Jennifer Mcdaniel Counselor 230 2nd St Ste 406, Henderson, KY 42420-3174 2014-01-27

Office Location

Street Address 2500 N STATE ST
City JACKSON
State MS
Zip Code 39216-4500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477556231 University Ophthalmology Associates Ophthalmology 2500 N State St, Ste B329, Jackson, MS 39216-4500 2005-05-24
1396346607 Ashleigh Renfroe Hannah Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-11-03
1770182438 Tara P. Carter Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-10-22
1679189849 Raegan Wilson Registered Nurse 2500 N State St, Jackson, MS 39216-4500 2020-09-22
1851905095 Violet Maloba Awori Student in an Organized Health Care Education/Training Program 2500 N State St, Jackson, MS 39216-4500 2020-09-04
1295348639 Kassidy Voinche Pharmacist 2500 N State St, Jackson, MS 39216-4500 2020-08-25
1215549423 Brittney Leeann Williams Pharmacist 2500 N State St, Jackson, MS 39216-4500 2020-08-19
1912519364 Rashmi Verma Internal Medicine 2500 N State St, Jackson, MS 39216-4500 2020-08-18
1982215414 Anita Dhanrajani Pediatrics 2500 N State St, Jackson, MS 39216-4500 2020-08-10
1528676954 Nicholas Mcafee Psychologist 2500 N State St, Jackson, MS 39216-4500 2020-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
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Taxonomy Information

Taxonomy Code 363LP0222X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861911372 Brennan Williams Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2017-09-15
1215476064 Jonathan Princiotta Nurse Practitioner 2500 N State St, 2500 North State Street, Jackson, MS 39216-4500 2017-02-13
1811360993 Alex Barraza Taylor Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2015-11-11
1659787307 Frances Hampton Tynes Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2014-07-02
1093157414 Amy Lowery Carroll Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2013-07-26
1265796981 Alicon Kathleen Johnson Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2012-06-27
1144527292 Shanda Sandridge Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2011-02-24

Competitor

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City JACKSON
Zip Code 39216

Improve Information

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Dataset Information

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.

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