JACK CHANDLER PAPA


Address: 3556 May Brook Cv, Southaven, MS 38672-1006
Phone: 9016108125

JACK CHANDLER PAPA (NPI# 1922615616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922615616
Entity Type Individual
Full Name JACK CHANDLER PAPA
Practice Address 3556 May Brook Cv
Southaven
MS 38672-1006
Practice Telephone 9016108125
Mailing Telephone 9016108125
Enumeration Date 2020-09-26
Last Update Date 2020-09-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
PAPA-03IX09 MS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3556 MAY BROOK CV
City SOUTHAVEN
State MS
Zip Code 38672-1006

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871100826 Sarah Kathryn Pratt Physical Therapist 5271 Getwell Road, Suite A, Southaven, MS 38672 2020-09-24
1356713606 Deadra Dennis Behavioral Analyst 2816 Calico Rock Cv, Southaven, MS 38672 2015-10-27
1568727352 Patricia Leanne Lewis Family Medicine 5908 Getwell Rd, Southaven, MS 38672 2012-07-09
1417183922 Mississippi Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 2945 Goodman Road East, Southaven, MS 38672 2009-06-10
1568609998 Susan Orsland Physical Therapist 4355 Genevieve Drive, Southaven, MS 38672 2009-01-07
1659516524 Stacy L Sanders Audiologist 5740 Getwell Rd. Building 3 Unit B, Southaven, MS 38672 2008-12-08
1295927226 Tracey F Petrides Family Medicine 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 2007-08-14
1538288741 Bruce A Denney Dentist 7125 Getwell Road, Suite 102, Southaven, MS 38672 2007-03-28
1154480150 Kimberly Marie Metcalf Social Worker 7165-g Getwell Rd., Southaven, MS 38672 2006-12-06
1346318441 Deborah Verucchi Nurse Practitioner 5740 Getwell Rd Ste B, Southaven, MS 38672 2006-11-30
Find all providers in zip 38672

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518583129 Susan E Mccullough Nurse Practitioner 5932 Antler Trl, Southaven, MS 38672-6511 2020-06-19
1336764778 Raquel Janay Reed-washington Nurse Practitioner 3548 Herbert Cv, Southaven, MS 38672-2003 2020-06-11
1104452887 Vincent Lee Spinosa-parker Nurse Practitioner 5056 Maiden Lane Cv, Southaven, MS 38672-6000 2020-03-13
1215438437 Alba Laura Emerson Nurse Practitioner 1862 Lindsey Ln, Southaven, MS 38672-8602 2018-02-22
1629583026 Lachasity Kimmons Nurse Practitioner 2032 Audubon Pl, Southaven, MS 38672-9440 2017-12-06
1124322474 Ageless Men's Health, LLC Nurse Practitioner 7111 Southcrest Pkwy, Suite 109, Southaven, MS 38671-4850 2010-12-30
1487757365 Regina G Seaton Nurse Practitioner 7676 Airways Blvd, Southaven, MS 38671-5304 2006-09-06
1063465482 Misty Ann Moore Nurse Practitioner 7585 Clarington Cove, Southaven, MS 38671-2300 2006-05-18
1184602450 Tammy Louise Carnahan Nurse Practitioner 7900 Airways Blvd, Building A Suite 6, Southaven, MS 38671-4113 2006-01-05
1831728583 Treneise Hunt-smith Nurse Practitioner 340 Stateline Rd W, Southaven, MS 38671-1610 2020-04-05
Find all providers in SOUTHAVEN

Competitor

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City SOUTHAVEN
Zip Code 38672

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Dataset Information

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.

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