MS. JACQUELINE PENTZ WATKINS (NPI# 1992926067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992926067 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE PENTZ WATKINS |
| Credential | NNP |
| Practice Address |
853 Jefferson Avenue Rout Bldg, Suite 201 Memphis TN 38103-2897 |
| Mailing Address |
3532 Winding Wind Cove Bartlett TN 38135-3044 |
| Practice Telephone | 9015457366 |
| Mailing Telephone | 9013852423 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
APN0000005429 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881883163 | Jacqueline Elinor Watkins | Registered Nurse | 1700 W Highway 98, Mary Esther, FL 32569-1550 | 2007-10-23 |
| 1033624044 | Jacqueline Watkins | Social Worker | 1341 Bertram St, Cedar Rapids, IA 52403-9001 | 2017-12-13 |
| 1174945281 | Jacqueline Marie Watkins | Nurse's Aide | 440 Benmar Drive, Houston, TX 77060 | 2014-01-08 |
| 1194914309 | Jacqueline Watkins | Counselor | 761 3rd St, New Martinsville, WV 26155-1403 | 2007-10-24 |
| Street Address |
853 JEFFERSON AVENUE ROUT BLDG, SUITE 201 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-2897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225512346 | Cassie Lynn Nations | Nurse Practitioner | 853 Jefferson Ave Fl 2, Memphis, TN 38103-2807 | 2018-09-25 |
| 1609283928 | Marilyn Muirhead | Nurse Practitioner | 179 Eastland Dr, Memphis, TN 38111-6930 | 2014-07-18 |
| 1225381650 | Jane Guidry Hood | Nurse Practitioner | 853 Jefferson Ave Bldg 2nd, Memphis, TN 38103-2807 | 2012-10-23 |
| 1235379876 | Nancy Lakey Ruch | Nurse Practitioner | 877 Jefferson Ave Rm 201, Memphis, TN 38103-2807 | 2009-02-23 |
| 1649449372 | Susie Q. Baskin | Nurse Practitioner | 66 N. Pauline Street, Suite 101, Memphis, TN 38105 | 2008-02-27 |
| 1316088321 | Elizabeth L. Avery Ivey | Nurse Practitioner | 3832 Waynoka Ave, Memphis, TN 38111-6921 | 2007-02-11 |
| 1821186008 | Bridgette Demetre Battle | Nurse Practitioner | 853 Jefferson Ave # 206, Memphis, TN 38103-2807 | 2006-10-11 |
| 1609492966 | Lauren Casevechia | Nurse Practitioner | 853 Jefferson Ave # E206, Memphis, TN 38103-2804 | 2020-06-23 |
| 1598399594 | Chandler Mae Williams | Nurse Practitioner | 853 Jefferson Ave # Route206, Memphis, TN 38103-2804 | 2020-02-27 |
| 1386064913 | Lindsay Hand Burgess | Nurse Practitioner | 848 Adams Ave, Memphis, TN 38103-2816 | 2014-04-22 |
| 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.