MS. SARITA JOYCE GLOVER-JACKSON (NPI# 1598911646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598911646 |
| Entity Type | Individual |
| Full Name | MS. SARITA JOYCE GLOVER-JACKSON |
| Credential | CFNP |
| Practice Address |
403 Nw Depot St Durant MS 39063-3705 |
| Practice Telephone | 6626533999 |
| Practice Fax Number | 6626533157 |
| Mailing Telephone | 6626533999 |
| Mailing Fax Number | 6626533157 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2014-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R856333 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06887820 | 05 |
| Street Address |
403 NW DEPOT ST |
| City | DURANT |
| State | MS |
| Zip Code | 39063-3705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164089322 | Paula Perteet | Nurse Practitioner | 403 Nw Depot St, Durant, MS 39063-3705 | 2019-05-23 |
| 1063849578 | Glover Primary Care Clinic | Clinic/Center | 403 Nw Depot St, Durant, MS 39063-3705 | 2013-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912433459 | S&m Medical Clinic | Clinic/Center | 403 Northwest Depot Street, Durant, MS 39063 | 2017-05-03 |
| 1649573833 | Sharon B Lofton | Nurse Practitioner | 33795 Ms-12, Durant, MS 39063 | 2010-12-10 |
| 1922317262 | James Myers Ferguson | Pharmacist | 33674 Hw 12, Durant, MS 39063 | 2010-10-05 |
| 1497073191 | Durant Public School District | Local Education Agency (LEA) | 65 West Madison Street, Durant, MS 39063 | 2010-05-06 |
| 1902923527 | Mallory Community Health | Clinic/Center | 33795 Highway 12 East, Durant, MS 39063 | 2007-03-26 |
| 1952333999 | Freds Stores of Tennessee Inc | Pharmacy | 33674 Highway 12, Durant, MS 39063-2602 | 2006-07-07 |
| 1033733951 | Bonita T Roby | Licensed Practical Nurse | 1762 Eddisville Rd, Durant, MS 39063-2910 | 2020-06-05 |
| 1124100813 | Durant Primary Care Clinic | Clinic/Center | 638 Northwest Ave, Durant, MS 39063-3337 | 2006-10-20 |
| 1497843676 | Wirt Fletcher Shrock Jr. | Family Medicine | 630 Northwest Ave, Durant, MS 39063-3337 | 2006-10-11 |
| 1306111984 | Peace Wellness Center, LLC | Clinic/Center | 638 Northwest Ave, Durant, MS 39063-3337 | 2012-03-15 |
| Find all providers in zip 39063 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356693287 | Horace E. Glover Medical Services | Nurse Practitioner | 14757 S Jackson St, Durant, MS 39063-3922 | 2012-10-02 |
| 1649573833 | Sharon B Lofton | Nurse Practitioner | 33795 Ms-12, Durant, MS 39063 | 2010-12-10 |
| 1922086149 | Kristy M Smothers | Nurse Practitioner | 2149 Ed F Davis Rd, Durant, OK 74701-3085 | 2006-01-06 |
| 1356905988 | Keely Rebecca Nunnally | Nurse Practitioner | 2701 W University Blvd, Durant, OK 74701-2997 | 2019-04-29 |
| 1003399940 | Haley Harrison | Nurse Practitioner | 1801 Chukka Hina, Durant, OK 74701-7117 | 2018-09-06 |
| 1871097741 | Bobby Don Priddy Jr. | Nurse Practitioner | 1801 Chukka Hina, Durant, OK 74701 | 2018-03-23 |
| 1053824359 | Darci Lynn Bowen | Nurse Practitioner | 1801 Chukka Hina, Durant, OK 74701 | 2017-11-08 |
| 1326559683 | Joseph Reed Hutchings | Nurse Practitioner | 1807 W University Blvd, Durant, OK 74701-3011 | 2017-10-13 |
| 1093103152 | Jodi Robinson | Nurse Practitioner | 1400 Bryan Dr, Suite 303, Durant, OK 74701-2156 | 2014-12-24 |
| 1780922443 | Krista Danielle Ribera | Nurse Practitioner | 1800 W University Blvd, Durant, OK 74701-3006 | 2013-01-30 |
| Find all providers in DURANT | ||||
Please comment or provide details below to improve the information on MS. SARITA JOYCE GLOVER-JACKSON.
| 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.