JERRY LOUIS NASH (NPI# 1598921793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598921793 |
| Entity Type | Individual |
| Full Name | JERRY LOUIS NASH |
| Credential | CFNP |
| Practice Address |
1205 Second St Pelahatchie MS 39145-3050 |
| Mailing Address |
Po Box 24116 Jackson MS 39225-4116 |
| Practice Telephone | 6018257280 |
| Practice Fax Number | 6018258130 |
| Mailing Telephone | 6018257280 |
| Mailing Fax Number | 6018258130 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2016-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R861839 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04274568 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801842646 | Jerry D Nash | Specialist | 2121 E Harmony Rd, Suite 180, Fort Collins, CO 80528-3400 | 2006-05-25 |
| Street Address |
1205 SECOND ST |
| City | PELAHATCHIE |
| State | MS |
| Zip Code | 39145-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003263856 | Telehealthone LLC | Nurse Practitioner | 404 Second Street, Pelahatchie, MS 39145 | 2016-05-23 |
| 1821328360 | Brewer Healthcare Clinic, LLC | Nurse Practitioner | 610 Hwy 80, Pelahatchie, MS 39145 | 2010-01-06 |
| 1891953642 | Shellie V Breland | Dentist | 501 Second St, Pelahatchie, MS 39145 | 2008-05-29 |
| 1245420835 | Care Plus Pelahatchie Clinic | Family Medicine | 501 Highway 80 East, Pelahatchie, MS 39145 | 2007-07-30 |
| 1467478743 | Family Health Care Clinic, Inc. | Clinic/Center | 100 Brooks Avenue, Pelahatchie, MS 39145 | 2006-07-13 |
| 1699292227 | Amanda L Jackson | Pharmacist | 404 Second Street, Pelahatchie, MS 39145 | 2017-08-24 |
| 1275669517 | Rhodes & Robby Drugs Inc | Pharmacist | 114 Brooks Street, Pelahatchie, MS 39145-0249 | 2007-02-23 |
| 1982942223 | Pelahatchie Family Medicine | Family Medicine | 507 Second St, Pelahatchie, MS 39145-2786 | 2013-01-22 |
| 1518194265 | Mary Ann Griffin | Nurse Practitioner | 507 Highway 80, Pelahatchie, MS 39145-2786 | 2009-06-19 |
| 1699211516 | S&p Ventures LLC | Dentist | 501 Second St, Pelahatchie, MS 39145-2786 | 2017-01-17 |
| Find all providers in zip 39145 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003263856 | Telehealthone LLC | Nurse Practitioner | 404 Second Street, Pelahatchie, MS 39145 | 2016-05-23 |
| 1518194265 | Mary Ann Griffin | Nurse Practitioner | 507 Highway 80, Pelahatchie, MS 39145-2786 | 2009-06-19 |
| 1134160518 | Linda Brewer | Nurse Practitioner | 610 Second St, Pelahatchie, MS 39145-3135 | 2006-06-09 |
| 1093773202 | Donna S. Foster | Nurse Practitioner | 605 2nd St, Pelahatchie, MS 39145-3065 | 2006-05-04 |
| 1437514262 | Griffin Family Medical Clinic Pa | Nurse Practitioner | 507 Highway 80, Pelahatchie, MS 39145-2786 | 2015-12-21 |
| 1508950502 | Kathy Hill | Nurse Practitioner | 610 Second St, Pelahatchie, MS 39145-3135 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | PELAHATCHIE |
| Zip Code | 39145 |
Please comment or provide details below to improve the information on JERRY LOUIS NASH.
| 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.