JESSICA BOSWELL MCDANIEL (NPI# 1558670042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558670042 |
Entity Type | Individual |
Full Name | JESSICA BOSWELL MCDANIEL |
Credential | FNP |
Practice Address |
1314 19th Ave Meridian MS 39301-4116 |
Mailing Address |
10361 Road 280 Philadelphia MS 39350-5243 |
Practice Telephone | 6017036721 |
Mailing Telephone | 6014161449 |
Enumeration Date | 2010-09-30 |
Last Update Date | 2018-10-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R874333 | MS | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
24345 Highway 15, Union, MS 393658575 | 6017748211 | 6017748589 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316423981 | Jessica Mcdaniel | Counselor | 1117 Old Vincennes Trl, O Fallon, IL 62269-4115 | 2018-07-17 |
1568735751 | Jessica Ward Mcdaniel | Physical Therapy Assistant | 1918 Wilmore Walk Dr, Charlotte, Charlotte, NC 28203-4531 | 2012-02-17 |
1184244352 | Jessica Frazelle Mcdaniel | Student in an Organized Health Care Education/Training Program | 11885 E 12 Mile Rd, Warren, MI 48093-3474 | 2020-04-17 |
1316322357 | Jessica Mcdaniel | Pharmacist | 2801 Hicks Rd, North Chesterfield, VA 23235-6337 | 2015-07-20 |
1578820163 | Jessica Mcdaniel | Massage Therapist | 4105 E Florida Ave, Denver, CO 80222-3620 | 2012-04-19 |
1013152701 | Jessica Ann Mcdaniel | Speech-Language Pathologist | 11 Vernon Ave, Rockville Centre, NY 11570-5521 | 2008-12-09 |
1689760183 | Jessica Mcdaniel | Dietitian, Registered | Department of Veterans Affairs Medical Center, 2495 Shreveport Hwy, Pineville, LA 71360 | 2006-10-04 |
Street Address |
1314 19TH AVE |
City | MERIDIAN |
State | MS |
Zip Code | 39301-4116 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780682807 | Teresa B. Redmond | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2005-07-12 |
1881207918 | Cindy Renee' Quinn | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4195 | 2020-08-28 |
1821625773 | Michaela L. Moore | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2020-03-23 |
1821631128 | Leah Lindsley Ward | Registered Nurse | 1314 19th Ave, Meridian, MS 39301-4116 | 2019-10-20 |
1356901169 | Laura Elizabeth Perry | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2019-06-14 |
1407318231 | Stephen G Fleming | Registered Nurse | 1314 19th Ave, Meridian, MS 39301-4195 | 2019-04-01 |
1437624566 | Kayla Lauren Barnett | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2018-10-04 |
1689158909 | Leah Denise Phillips | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2018-09-21 |
1114401908 | Connie J Gainey | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2018-09-18 |
1861988669 | Ashley Leigh Blass | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2018-07-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
Find all providers in zip 39301 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104427152 | Christopher Alan Anthony Nicholas | Nurse Practitioner | 2889 N Chancery Pl, Meridian, ID 83646-7407 | 2020-11-05 |
1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
1649885534 | Auston Whitmer | Nurse Practitioner | 2203 E Ringneck St, Meridian, ID 83646-7410 | 2020-09-09 |
1407460157 | Kimberly N Lacap | Nurse Practitioner | 5961 Hwy 145, Meridian, MS 39301-9761 | 2020-09-01 |
1134733728 | Courtney S Dubose | Nurse Practitioner | 8252 Lizelia Rd, Meridian, MS 39305-8511 | 2020-09-01 |
1740890698 | Kimberly Parker | Nurse Practitioner | 4708 Hickory Hills Cir, Meridian, MS 39305-2440 | 2020-08-05 |
1396369138 | Tracy Ann Roberts | Nurse Practitioner | 3639 S Arno Ave, Meridian, ID 83642-1396 | 2020-06-06 |
1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
1285293639 | Lindsey Sand | Nurse Practitioner | 2347 E Gala St # 150, Meridian, ID 83642-4881 | 2019-06-10 |
Find all providers in MERIDIAN |
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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.