Jennifer Dawn Champagne (NPI# 1235529454, PAC ID# 6901117985) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235529454 |
| PAC ID by PECOS | 6901117985 |
| Professional Enrollment ID | I20150617001010 |
| Full Name | Jennifer Dawn Champagne |
| Organization Legal Name | MEMORIAL HOSPITAL AT GULFPORT |
| Address |
8950 Lorraine Rd Suite B Gulfport MS 39503-4183 |
| Phone Number | 2285752770 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2466524012 |
| Number of Group Practice Members | 353 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250019 | MEMORIAL HOSPITAL AT GULFPORT |
| Address | Phone | Organization |
|---|---|---|
| 8950 Lorraine Rd, Suite B, Gulfport, MS 39503-4183 | 2285752770 | MEMORIAL HOSPITAL AT GULFPORT |
| Organization Legal Name | MEMORIAL HOSPITAL AT GULFPORT |
| Physicians | 362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Kusserow Bersabe | Internal Medicine | Memorial Hospital At Gulfport | 1756 Popps Ferry Rd, Suite A, Biloxi, MS 39532-2118 |
| Mai Thi Tran | Nurse Practitioner | Memorial Hospital At Gulfport | 4333 15th St, Suite A, Gulfport, MS 39501-2525 |
| Kristi Ramey Kennon | Physician Assistant | Memorial Hospital At Gulfport | 9454 Three Rivers Rd, Gulfport, MS 39503-4294 |
| James C Hardwick | Cardiovascular Disease (cardiology) | Memorial Hospital At Gulfport | 4215 15th St, Gulfport, MS 39501-2523 |
| Takiffany Jean Mcleod | Nurse Practitioner | Memorial Hospital At Gulfport | 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 |
| Laura Schepens | Nurse Practitioner | Memorial Hospital At Gulfport | 4603 Hospital St, Suite A, Pascagoula, MS 39581-5337 |
| Ursula Knight | Nurse Practitioner | Memorial Hospital At Gulfport | 2781 Ct Switzer Dr, Suite 104, Biloxi, MS 39531 |
| Susan P Muzslay | Registered Dietitian Or Nutrition Professional | Memorial Hospital At Gulfport | 90 Industrial Park Cir, Ocean Springs, MS 39564-5800 |
| Ruth Bishop | Nurse Practitioner | Memorial Hospital At Gulfport | 1408 44th Ave, Gulfport, MS 39501-2554 |
| Alicia M Reynolds | Nurse Practitioner | Memorial Hospital At Gulfport | 14209 Cook Rd, Biloxi, MS 39532-9719 |
| Street Address |
8950 LORRAINE RD SUITE B |
| City | GULFPORT |
| State | MS |
| Zip | 39503-4183 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard B Mccrary | Pediatric Medicine | State of Mississippi-university of Mississippi Medical Center | 8950 Lorraine Rd, Suite A, Gulfport, MS 39503-4183 |
| Emily Lukens | Nurse Practitioner | Memorial Hospital At Gulfport | 8950 Lorraine Rd, Suite B, Gulfport, MS 39503-4183 |
| Barbara Kerby | Nurse Practitioner | Memorial Hospital At Gulfport | 8950 Lorraine Rd, Suite A, Gulfport, MS 39503-4183 |
| Maureen Holland | Pediatric Medicine | State of Mississippi-university of Mississippi Medical Center | 8950 Lorraine Rd, Suite A, Gulfport, MS 39503-4183 |
| Kasey Rose Privett | Nurse Practitioner | Memorial Hospital At Gulfport | 8950 Lorraine Rd, Gulfport, MS 39503-4183 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Dwaine Brown | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Clarence Ray Quave Jr. | Physical Therapy | Encore Rehabilitation Inc | 15476 B Dedeaux Rd, Gulfport, MS 39503-2637 |
| Cherryl D Purvis | Nurse Practitioner | Heart Hypertension Cholesterol and Diabetes Care LLC | 15444 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Joseph M Frame | Physical Therapy | 15444 Dedeaux Rd A, Gulfport, MS 39503-2637 | |
| Ricky D Roach | Podiatry | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | |
| Henry T Leis | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Ophelia Abrahams | Occupational Therapy | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Jason Lowery | Physician Assistant | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Eric Jason Graham | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Nicole Lynn Johnson | Nurse Practitioner | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Find all physicians in zip 39503 | |||
| City | GULFPORT |
| Zip Code | 39503 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GULFPORT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer Dawn Champagne.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.