JESSICA RAE WHITMAN (NPI# 1982913141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982913141 |
Entity Type | Individual |
Full Name | JESSICA RAE WHITMAN |
Credential | ARNP |
Practice Address |
450 E Sigler Ave Memphis MO 63555-1726 |
Mailing Address |
1416 Crown Dr Kirksville MO 63501-2548 |
Practice Telephone | 6604652828 |
Mailing Telephone | 6606275757 |
Enumeration Date | 2010-10-05 |
Last Update Date | 2017-07-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
C-121201 | IA | Nursing Service Providers |
N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
C121201 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2011026731 | MO | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194187120 | Jessica Whitman | Behavioral Analyst | 2127b Kelikoli St, Lihue, HI 96766-8956 | 2016-03-29 |
1336548395 | Jessica Whitman | Physician Assistant | 5503 S Congress Avenue Suite 204, Atlantis, FL 33462 | 2014-08-15 |
Street Address |
450 E SIGLER AVE |
City | MEMPHIS |
State | MO |
Zip Code | 63555-1726 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205844982 | Scotland County Memorial Hospital | Family Medicine | 450 E Sigler Ave, Suite A, Memphis, MO 63555-1726 | 2006-08-04 |
1235761826 | Marissa Ann Burgess | Physician Assistant | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2020-02-11 |
1316486293 | Teresa Marie Kirchner | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2017-02-13 |
1518404847 | Scotland County Community Health Development Services, Inc. | Pharmacy | 450 E Sigler Ave, Suite A-2, Memphis, MO 63555-1726 | 2017-01-24 |
1619327111 | Haley Rae Shrum | Nurse Practitioner | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2016-06-15 |
1437526258 | Jessica Christen | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2015-08-27 |
1801271788 | Sonya See | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2015-07-21 |
1962818468 | Jenna Williams | Nurse Practitioner | 450 E Sigler Ave, Ste A, Memphis, MO 63555-1726 | 2014-07-03 |
1841617180 | Jennifer Mcminn | Physical Therapy Assistant | 450 E Sigler Ave, Memphis, MO 63555-1726 | 2014-03-25 |
1881011468 | Meagan Weber | Specialist | 450 E Sigler Ave, Scotland County Hospital, Memphis, MO 63555-1726 | 2014-03-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548433485 | Pkanesthesia, Inc | Nurse Anesthetist, Certified Registered | Rt 1 Box 53, Memphis, MO 63555 | 2008-04-11 |
1235284167 | Darrell Lynn Monroe | Chiropractor | 107 East Monroe, Memphis, MO 63555 | 2007-01-23 |
1952496002 | Jeanne Kay Camden | Chiropractor | 321 North Clay, Hwy 15 North, Memphis, MO 63555 | 2006-10-04 |
1639190069 | Randall Tobler | Obstetrics & Gynecology | Sigler Ave, R1, Memphis, MO 63555 | 2006-07-21 |
1043788250 | Scotland County Pharmacy Inc | Pharmacy | 445 E Grand Ave, Memphis, MO 63555 | 2018-11-06 |
1093894206 | Marilyn Lee Day | Nurse Practitioner | Sigler Ave, Memphis Medical, Memphis, MO 63555 | 2006-11-06 |
1730293705 | Robert Wayne Jackson | Internal Medicine | Sigler Ave, Memphis, MO 63555 | 2006-08-18 |
1306139027 | Nicholas R Rhodes | Massage Therapist | 429 W Madison St, Memphis, MO 63555-1054 | 2011-05-27 |
1275709610 | Harlo Lee Donelson | Dentist | 125 S Main, Memphis, MO 63555-1423 | 2008-05-06 |
1801038948 | Lisa Marie Peterson | Social Worker | 215 S Main St, Memphis, MO 63555-1425 | 2009-04-06 |
Find all providers in zip 63555 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629683453 | Monique Kyles | Nurse Practitioner | 148 Marrakesh Cir, Memphis, TN 38103-5830 | 2020-09-09 |
1295350361 | Amber Rose King | Nurse Practitioner | 439 N Graham St, Memphis, TN 38122-3831 | 2020-06-14 |
1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
1730568650 | Erin Burke | Nurse Practitioner | 262 Danny Thomas Place-mail Stop 260, Memphis, TN 38103 | 2015-05-26 |
1427443142 | Jamila Shani Smith-young | Nurse Practitioner | 51 N Dunlap #400, Memphis, TN 38103 | 2015-03-31 |
1457788606 | Lindsey Nicole Locke | Nurse Practitioner | 848 Adams Street, Memphis, TN 38103 | 2013-10-02 |
1851667992 | Brenda Hill | Nurse Practitioner | 920 Madison Ave, Suite 513, Memphis, TN 38163-2120 | 2012-03-22 |
1851378525 | Mindy J Lipson | Nurse Practitioner | 5293 S Angela Rd, Memphis, TN 38120-2203 | 2005-12-23 |
1609853381 | Kimberly E Proctor | Nurse Practitioner | 332 N Lauderdale St., Ms 133, Memphis, TN 38105-2794 | 2005-12-23 |
1528679651 | Heather Leigh Leland | Nurse Practitioner | 8071 Winchester Rd, Memphis, TN 38125-8206 | 2020-08-12 |
Find all providers in MEMPHIS |
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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.