MORGAN HOPE MAHAN (NPI# 1629590369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629590369 |
| Entity Type | Individual |
| Full Name | MORGAN HOPE MAHAN |
| Credential | CPNP-PC |
| Practice Address |
19 Security Dr Jackson TN 38305 |
| Mailing Address |
272 Heritage Sq Medina TN 38355-2102 |
| Practice Telephone | 7316649040 |
| Practice Fax Number | 7316649041 |
| Mailing Telephone | 7314144957 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
22789 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
22789 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1636 E Main St, Humboldt, TN 383432904 | 7317847833 | 7317847856 |
| 19 Security Dr, Jackson, TN 38305 | 7316649040 | 7316649041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144613340 | Morgan Mahan | Nurse Practitioner | 601 Colliers Way, Weirton, WV 26062-5014 | 2015-03-12 |
| Street Address |
19 SECURITY DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467637611 | Lentz Pediatrics, Plc | Pediatrics | 19 Security Dr, Jackson, TN 38305-3626 | 2008-01-07 |
| 1407466428 | Alexandra Brittain | Nurse Practitioner | 19 Security Dr, Jackson, TN 38305-3626 | 2020-08-04 |
| 1174851844 | Ashley Kate Melton | Nurse Practitioner | 19 Security Dr, Jackson, TN 38305-3626 | 2009-11-18 |
| 1023281896 | West Tennessee Hand Center, Pllc | Orthopaedic Surgery | 19 Security Dr, Jackson, TN 38305-3626 | 2008-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881219129 | Esther Epstein | Nurse Practitioner | 9 Dorchester Ct, Jackson, NJ 08527-2221 | 2020-06-12 |
| 1891233276 | Optimum Healthcare Associates, Pa | Nurse Practitioner | 5350 Executive Pl, Suite 8, Jackson, MS 39206-4100 | 2017-02-06 |
| 1285778639 | Felesia R Bowen | Nurse Practitioner | 17 Twin Oaks Ct, Jackson, NJ 08527-5359 | 2007-02-19 |
| 1972500536 | Colleen Chadderton | Nurse Practitioner | 760 W Franklin St, Jackson, MI 49201-2048 | 2005-06-28 |
| 1942817366 | Jenna Rhodig | Nurse Practitioner | 1418 E Michigan Ave, Jackson, MI 49202-3518 | 2020-09-29 |
| 1407466428 | Alexandra Brittain | Nurse Practitioner | 19 Security Dr, Jackson, TN 38305-3626 | 2020-08-04 |
| 1184189680 | Lyndi Nicole Ryan | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2019-02-08 |
| 1487123923 | Leah Lenaee Warner | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2018-11-14 |
| 1356826044 | Kaelyn Monroe | Nurse Practitioner | 2100 4th St, Jackson, MI 49203-4518 | 2018-09-27 |
| 1104300615 | Emileigh S Williams | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2018-09-20 |
| Find all providers in JACKSON | ||||
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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.