LEKENYA MIRIAM NUTTALL (NPI# 1710536636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710536636 |
| Entity Type | Individual |
| Full Name | LEKENYA MIRIAM NUTTALL |
| Credential | FNP-C |
| Practice Address |
415 Us Highway 49 N Tutwiler MS 38963-5091 |
| Mailing Address |
Po Box 46 Ruleville MS 38771-0046 |
| Practice Telephone | 6623456567 |
| Mailing Telephone | 6624022351 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
903390 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
415 US HIGHWAY 49 N |
| City | TUTWILER |
| State | MS |
| Zip Code | 38963-5091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588211916 | Pattye Dorris | Nurse Practitioner | 415 Us Highway 49 N, Tutwiler, MS 38963-5091 | 2019-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071975 | Patrick Burns | Dentist | Tallahatchie County Correctional, 415 Us 49, Tutwiler, MS 38963 | 2020-07-31 |
| 1669805040 | Dankenya Mcdavis | Nurse Practitioner | 415 Hwy 49, Tutwiler, MS 38963 | 2013-08-20 |
| 1003132937 | Parental Adult Daycare | In Home Supportive Care | 409 West Street, Tutwiler, MS 38963 | 2010-04-16 |
| 1699956268 | Ancor Adult Day Care Center | Exclusive Provider Organization | 813 Hancock Street, Tutwiler, MS 38963 | 2007-11-23 |
| 1821107996 | Destiny Hospice Palliative Care Specialty Sercices Inc | Hospice Care, Community Based | 202 Second St., Tutwiler, MS 38963 | 2006-08-30 |
| 1003036294 | Trinity Hospice and Palliative Care Services Inc. | Hospice Care, Community Based | 100 2nd St, Tutwiler, MS 38963 | 2007-04-27 |
| 1225190689 | Anne E Brooks | Family Medicine | 205 Alma St, Tutwiler, MS 38963 | 2006-12-14 |
| 1811008261 | Tutwiler Clinic Inc | Family Medicine | 205 Alma St, Tutwiler, MS 38963-0462 | 2006-08-31 |
| 1609322205 | Tallahatchie General Hospital | Clinic/Center | 205 Alma St, Tutwiler, MS 38963-5067 | 2016-09-01 |
| 1457761611 | Sabrina Gail Easter | Nurse Practitioner | 205 Alma St, Tutwiler, MS 38963-5067 | 2014-04-28 |
| Find all providers in zip 38963 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669805040 | Dankenya Mcdavis | Nurse Practitioner | 415 Hwy 49, Tutwiler, MS 38963 | 2013-08-20 |
| 1942261680 | Eileen Breen | Nurse Practitioner | 205 Alma St, Tutwiler Clinic, Tutwiler, MS 38913-0297 | 2006-03-31 |
| 1245513902 | Maria Luisa Ozua | Nurse Practitioner | 205 Alma St, Tutwiler, MS 38963-5067 | 2011-09-20 |
| 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 | ||||
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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.