JACKSON PUBLIC SCHOOLS DBA GALLOWAY CLINIC (NPI# 1710022959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710022959 |
Entity Type | Organization |
Organization Name | JACKSON PUBLIC SCHOOLS DBA GALLOWAY CLINIC |
Practice Address |
186 Idlewild St Jackson MS 39203-1219 |
Mailing Address |
662 S President St Jackson MS 39201-5601 |
Practice Telephone | 6013602214 |
Practice Fax Number | 6013602212 |
Mailing Telephone | 6019608705 |
Mailing Fax Number | 6019608704 |
Enumeration Date | 2007-02-21 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. EARL WATKINS (SUPERINTENDENT) |
Authorized Official Telephone | 6019608700 |
Authorized Official Credential | PH.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163W00000X | Registered Nurse | R857457 | MS | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 04358817 | 05 |
Street Address |
186 IDLEWILD ST |
City | JACKSON |
State | MS |
Zip Code | 39203-1219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235743162 | Shymeka Bolden | Home Health | 405 Dewitt Ave, Jackson, MS 39203 | 2020-09-08 |
1083027544 | Debra Williams | Counselor | 514 West Fortification Ave, Jackson, MS 39203 | 2014-06-03 |
1336224179 | Mississippi State Hospital At Whitfield | Community Based Residential Treatment Facility, Mental Illness | 350 Capers Avenue, Jackson, MS 39203 | 2006-10-26 |
1568628980 | Mall Services, LLC | Clinic/Center | 2050 Martin Luther King Jr Dr, Jackson, MS 39203-1030 | 2008-08-05 |
1457522260 | Jimmie C Robinson | Durable Medical Equipment & Medical Supplies | 605 W Fortification St, Jackson, MS 39203-1706 | 2008-03-19 |
1093277428 | Connections Counseling & Consulting LLC | Social Worker | 338 Oak St, Jackson, MS 39203-1810 | 2019-04-04 |
1033504816 | Niesha Lasha Gilmore | Occupational Therapist | 519 Scott St, Jackson, MS 39203-1825 | 2015-03-30 |
1255952453 | Innovative Hands of Therapy Services LLC | Occupational Therapist | 519 Scott St, Jackson, MS 39203-1825 | 2020-04-29 |
1588812341 | Deepti Amol Janorkar | Dentist | 275 Roseneath Ave, Jackson, MS 39203-2052 | 2008-09-05 |
1558637207 | Anna Leigh Lovett | Family Medicine | 275 Roseneath Ave, Jackson, MS 39203-2052 | 2012-03-27 |
Find all providers in zip 39203 |
Taxonomy Code | 163W00000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063025062 | Frederick Marvin Terry | Registered Nurse | 2135 Henry Hill Dr Ste 200, Jackson, MS 39204-2013 | 2020-08-28 |
1760091888 | Roshunda Sterling | Registered Nurse | 421 Hillandale Dr, Jackson, MS 39212-3204 | 2020-07-24 |
1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
1417585670 | Anna Cox | Registered Nurse | 1190 N State St Ste Ll01, Jackson, MS 39202-2413 | 2020-03-31 |
1588297873 | Kia Danielle Montgomery | Registered Nurse | 350 W Woodrow Wilson Ave Ste 411, Jackson, MS 39213-7681 | 2020-02-15 |
1831729417 | Bertha Siedah Sullivn | Registered Nurse | 635 Hampton Way Apt C, Jackson, MS 39211-2300 | 2020-01-22 |
1922651744 | Jessica Marie Brown | Registered Nurse | 220 Summit St, Jackson, MI 49203-4667 | 2019-07-21 |
1366902413 | Theresa Louise Hendrick | Registered Nurse | 1410 4th St, Jackson, MI 49203-4030 | 2019-03-24 |
1508324302 | Erica Daliance Simmons | Registered Nurse | 2246 Wild Valley Dr, Jackson, MS 39211-6164 | 2019-03-11 |
1326529942 | Moshe Reich | Registered Nurse | 874 Bethel Church Rd, Jackson, NJ 08527-1712 | 2018-08-22 |
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.