JESSE JR JONES (NPI# 1669485421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669485421 |
| Entity Type | Individual |
| Full Name | JESSE JR JONES |
| Credential | PA |
| Practice Address |
2800 Youree Dr Overton Brooks, Med Center Shreveport LA 71104-3661 |
| Practice Telephone | 3182218411 |
| Practice Fax Number | 3184295752 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1003580 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740797620 | Jesse Jones | Clinic/Center | 23092 El Campo Rd, Harlingen, TX 78552-4147 | 2018-01-02 |
| 1356715098 | Jesse Jones | Substance Abuse Rehabilitation Facility | 530 Loleta Ln, Novato, CA 94947-5210 | 2015-11-18 |
| 1093092934 | Jesse Tyler Jones | Massage Therapist | 11611 Airport Rd Ste 204, Everett, WA 98204-3782 | 2011-11-07 |
| 1922153394 | Jesse Andrew Jones | Optometrist | 4189 Ridge Ave, Philadelphia, PA 19129-1545 | 2007-01-24 |
| 1407810781 | Jesse Lee Jones | Obstetrics & Gynecology | 1370 Montreal Rd, Suite 170, Tucker, GA 30084-8128 | 2006-04-14 |
| 1255948006 | Jesse Benton Jones | Massage Therapist | 105 N Parkway Ave, Battle Ground, WA 98604-9129 | 2020-09-25 |
| 1215576731 | Jesse D Jones | Licensed Practical Nurse | 615a Govan Ave, Holly Springs, MS 38635-2110 | 2020-01-01 |
| 1295389179 | Jesse Alan Jones | Registered Nurse | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 | 2019-07-29 |
| 1750873881 | Jesse Griffin Jones | Community Health Worker | 1380 Howard St, San Francisco, CA 94103-2638 | 2018-06-04 |
| 1508219387 | Jesse Jay Jones | Massage Therapist | 8751 W Charleston Blvd, Suite 190, Las Vegas, NV 89117-5480 | 2016-07-18 |
| Street Address |
2800 YOUREE DR OVERTON BROOKS, MED CENTER |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-3661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497784201 | Sleep Diagnostics Inc. | Clinic/Center | 2800 Youree Dr, Suite 110, Shreveport, LA 71104-3661 | 2006-07-02 |
| 1114402542 | Loyalty Healthcare Behavioral Counseling | Community/Behavioral Health | 2800 Youree Dr, Shreveport, LA 71104-3661 | 2018-10-02 |
| 1780169110 | Loyalty Healthcare Behavioral Counseling | Community/Behavioral Health | 2800 Youree Dr, Shreveport, LA 71104-3661 | 2018-10-02 |
| 1124503552 | Loyalty Healthcare Behavioral Counseling | Community/Behavioral Health | 2800 Youree Dr, Shreveport, LA 71104-3661 | 2018-10-02 |
| 1942785373 | Loyalty Healthcare Behavioral Counseling | Community/Behavioral Health | 2800 Youree Dr, Shreveport, LA 71104-3661 | 2018-10-02 |
| 1043709371 | Jayesha Danielle Guice | Case Manager/Care Coordinator | 2800 Youree Dr, Shreveport, LA 71104-3661 | 2018-05-02 |
| 1902305683 | Latanya Cherelle Simpson | Counselor | 2800 Youree Dr, Shreveport, LA 71104-3661 | 2018-02-07 |
| 1417473083 | Lakesha Ross | Counselor | 2800 Youree Dr, Ste 482, Shreveport, LA 71104-3666 | 2017-08-16 |
| 1629507454 | Tangela Latece Alexander | Counselor | 2800 Youree Dr, Shreveport, LA 71104-3661 | 2017-06-06 |
| 1912433954 | Canikki Hanking | Counselor | 2800 Youree Dr, Suite 482, Shreveport, LA 71104 | 2017-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790228013 | Brian Keith Fontenot | Physician Assistant | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2016-11-18 |
| 1831412626 | Christopher Micheal Magill | Physician Assistant | 2551 Greenwood Rd Ste 210, Shreveport, LA 71103-3985 | 2010-03-08 |
| 1851401426 | Teresa Bigler | Physician Assistant | 1606 Kings Hwy, Shreveport, LA 71103-4128 | 2006-08-30 |
| 1730118365 | Tina Faith Gentry | Physician Assistant | 7925 Youree Dr Suite 280b, Shreveport, LA 71105-5538 | 2006-07-03 |
| 1487616538 | David Stanley Staton | Physician Assistant | Overton Brooks Vamc, 510 East Stoner Ave, Shreveport, LA 71101 | 2006-04-04 |
| 1114924404 | Mary Mcferren | Physician Assistant | 1455 E Bert Kouns Industrial Loop # 200, Shreveport, LA 71105 | 2005-07-01 |
| 1487252029 | Melissa Raney | Physician Assistant | 2709 Mackey Ln, Shreveport, LA 71118-2556 | 2020-10-15 |
| 1629683230 | Amanda Renae Simmons | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-10 |
| 1700496312 | Caroline Leigh Harris | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-08-07 |
| 1811459449 | Lyndsey Pate Day | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2019-04-02 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
Please comment or provide details below to improve the information on JESSE JR JONES.
| 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.