SHANNON JAMERSON (NPI# 1578841169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578841169 |
Entity Type | Individual |
Full Name | SHANNON JAMERSON |
Credential | ARNP |
Practice Address |
619 N Front St Medford OK 73759-2704 |
Mailing Address |
700 8th Ave W Ste 101 Palmetto FL 34221-4737 |
Practice Telephone | 5803953200 |
Practice Fax Number | 5803953201 |
Mailing Telephone | 9417764000 |
Enumeration Date | 2011-07-29 |
Last Update Date | 2020-02-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11006157 | FL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
109050 | OK | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-75450-012 | KS | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720462922 | Shannon Nicole Jamerson | Specialist/Technologist | 215 Spencer Pl, Apt. 121, Cayce, SC 29033-3980 | 2015-07-17 |
Street Address |
619 N FRONT ST |
City | MEDFORD |
State | OK |
Zip Code | 73759-2704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457374332 | Servant Living Center - Medford LLC | Nursing Facility/Intermediate Care Facility | 616 S Front Street, Medford, OK 73759 | 2006-07-25 |
1699025973 | Great Salt Plains Health Center, Inc. | Family Medicine | 619 Front Street, Medford, OK 73759-1209 | 2012-09-14 |
1235236175 | Kennedy Drug Co | Pharmacy | 107 E Cherokee St, Medford, OK 73759-1209 | 2006-09-20 |
1194072363 | Hughes Pharmacy LLC | Pharmacy | 107 E Cherokee St, Medford, OK 73759-1209 | 2012-08-07 |
1891945812 | Amy Holmes Medical Services Plc | Family Medicine | 102 E Cherokee, Medford, OK 73759-1210 | 2008-09-26 |
1407049307 | Jonathan D. Wren D.c. | Chiropractor | 104 N Main St, Medford, OK 73759-1232 | 2007-08-23 |
1598960015 | Associated Therapeutic Services, PC | Counselor | 114 N Main St, Medford, OK 73759-1232 | 2007-06-15 |
1881736577 | Medford Public School | Public Health or Welfare | 301 N Main St, Medford, OK 73759-1234 | 2007-02-12 |
1225025455 | Michael F Flanagan, Receiver for Medfors Nursing Home | Skilled Nursing Facility | 616 S Front St, Medford, OK 73759-1714 | 2005-10-03 |
1891110797 | Robertson Health Care LLC | Skilled Nursing Facility | 616 S Front St, Medford, OK 73759-1714 | 2014-02-28 |
Find all providers in zip 73759 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
1770005407 | Suzanne Ellen Sanderson | Nurse Practitioner | 2620 E Barnett Rd Ste H, Medford, OR 97504-8383 | 2017-07-14 |
1194189902 | Josephine Magpantay Gaviola | Nurse Practitioner | 101 Main St Ste 116, Medford, MA 02155-4530 | 2016-04-07 |
1033514286 | Lauren E Hodgdon | Nurse Practitioner | 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 | 2014-10-30 |
1962820209 | Jessica Anne Marie Gunn | Nurse Practitioner | 21 Ohio Trl, Medford, NJ 08055-8931 | 2014-04-03 |
1912333451 | Travis Adam Day | Nurse Practitioner | 70 Bower Dr Ste 110, Medford, OR 97501-3689 | 2013-09-16 |
1184058703 | Ashley Riley | Nurse Practitioner | 101 Main St Ste 107, Medford, MA 02155-4530 | 2013-08-30 |
1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
1366763336 | Edward William Walton | Nurse Practitioner | 2 Pinecrest Dr, Medford, NJ 08055-8513 | 2010-06-14 |
1760637748 | Pamela Woods Miller | Nurse Practitioner | 355 Black Oak, Medford, OR 97504 | 2008-11-18 |
Find all providers in MEDFORD |
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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.