MS. JAZZMON NICOLE TRICE (NPI# 1548802309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548802309 |
| Entity Type | Individual |
| Full Name | MS. JAZZMON NICOLE TRICE |
| Credential | APRN |
| Practice Address |
8400 Highway 386 East Wrightsville AR 72183 |
| Mailing Address |
8025 Shadow Valley Cv Alexander AR 72002-1861 |
| Practice Telephone | 5018972982 |
| Practice Fax Number | 5018979898 |
| Mailing Telephone | 5016073370 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
122314 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
122314 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8400 HIGHWAY 386 EAST |
| City | WRIGHTSVILLE |
| State | AR |
| Zip Code | 72183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285103747 | Susan Keyton Oliver | Nurse Practitioner | 290 Donovan Harrison Rd, Wrightsville, GA 31096-5045 | 2018-11-14 |
| 1477069292 | Penny Campbell Foskey | Peer Specialist | 2041 W Elm St, Wrightsville, GA 31096-5156 | 2017-12-15 |
| 1164899787 | Cynthia Jill Clark | Nurse Practitioner | 2160 W Elm St, Wrightsville, GA 31096-2014 | 2015-08-31 |
| 1164809828 | Community Health Care Systems, Inc | Clinic/Center | 2562 E Elm St, Wrightsville, GA 31096 | 2015-05-01 |
| 1942692595 | Kenneth James Bonner | Pharmacist | 1450 Klines Run Rd, Wrightsville, PA 17368-9208 | 2015-02-19 |
| 1740686989 | Wrightsville Family Dental | Dentist | 180 East Elm Street, Wrightsville, GA 31096 | 2014-11-17 |
| 1881027191 | Latoshia S. Wells | Pharmacist | 343 W Trilby St, Wrightsville, GA 31096-2142 | 2013-08-11 |
| 1598106718 | George Krieger | Behavioral Analyst | 116 Seth Ct, Cool Creek Manor, Wrightsville, PA 17368-9669 | 2013-07-16 |
| 1992002406 | Shirley Mackley | Counselor | 194 New Bridgeville Rd, Wrightsville, PA 17368-9052 | 2011-02-17 |
| 1851608863 | Hospice Advantage, LLC. | Hospice Care, Community Based | 6585 E College St, Wrightsville, GA 31096-2121 | 2010-09-13 |
| Find all providers in WRIGHTSVILLE | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285103747 | Susan Keyton Oliver | Nurse Practitioner | 290 Donovan Harrison Rd, Wrightsville, GA 31096-5045 | 2018-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122121 | John Mychal Thompson | Nurse Practitioner | 1411 Terrace, Magnolia, AR 71753-2040 | 2020-10-21 |
| 1619581873 | Tammy M Palermo | Nurse Practitioner | 210 County Road 1071, Eureka Springs, AR 72632-9480 | 2020-09-04 |
| 1134733611 | Heather Suzanne Brown | Nurse Practitioner | 856 Silverpeak Rd, Sherwood, AR 72120-2366 | 2020-09-02 |
| 1891307054 | Jyrissa Robinson | Nurse Practitioner | 1209 Hideaway Cv, Bryant, AR 72022-5007 | 2020-08-19 |
| 1598308140 | Elizabeth Ann Charles | Nurse Practitioner | 7001 Rogers Ave Fl 6, Fort Smith, AR 72903-4073 | 2019-10-25 |
| 1902457955 | Debbie Diane Laws | Nurse Practitioner | 2415 N Tyler St, Little Rock, AR 72207-3740 | 2019-09-21 |
| 1104473214 | Rebecca Lopez | Nurse Practitioner | 3305 S 2nd Pl, Rogers, AR 72758-1427 | 2019-08-22 |
| 1457814501 | Charis Health and Wellness Clinic | Nurse Practitioner | 7500 Dollarway Rd Ste 403, White Hall, AR 71602-3083 | 2019-04-06 |
| 1780141531 | Lauren Kincannon | Nurse Practitioner | Baptist Health Cardiothoracic Surgery Clinic, Little Rock, AR 72205-7220 | 2019-02-28 |
| 1043787070 | Amanda Ruth Guise-mcdonough | Nurse Practitioner | 5022 Country Club Blvd, Little Rock, AR 72207-4724 | 2018-10-29 |
| Find all providers with the same taxonomy | ||||
| City | WRIGHTSVILLE |
| Zip Code | 72183 |
Please comment or provide details below to improve the information on MS. JAZZMON NICOLE TRICE.
| 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.