MRS. JENNIFER MARIE ECHOLS (NPI# 1003206673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003206673 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER MARIE ECHOLS |
| Credential | P.A. |
| Practice Address |
1500 Ross Clark Cir Dothan AL 36301-4754 |
| Mailing Address |
Po Box 729 Dothan AL 36302-0729 |
| Practice Telephone | 3347932663 |
| Practice Fax Number | 3348362248 |
| Mailing Telephone | 3347932663 |
| Mailing Fax Number | 3348362248 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.1037 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942666433 | Jennifer Monique Echols | Registered Nurse | 1806 Wayne St, Pomona, CA 91767-3518 | 2016-01-13 |
| 1730530288 | Jennifer Echols | Counselor | 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 | 2016-06-27 |
| 1467641431 | Jennifer E Echols | Occupational Therapist | 9111 Cross Park Dr, E475, Knoxville, TN 37923 | 2007-10-16 |
| Street Address |
1500 ROSS CLARK CIR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376544262 | J. Paul Maddox | Orthopaedic Surgery | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2005-08-02 |
| 1891281911 | Cidney Peel Merritt | Nurse Practitioner | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2018-07-02 |
| 1811482623 | James Daniel Martin | Physician Assistant | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2018-06-25 |
| 1811480833 | Candice Bass | Nurse Practitioner | 1500 Ross Clark Cir, Dothan, AL 36301 | 2018-06-13 |
| 1801333570 | Amere Hooshmand | Physician Assistant | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2017-01-19 |
| 1104297415 | Melissa Rae Toombs | Nurse Practitioner | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2015-10-13 |
| 1932588241 | Hunter K Clark | Nurse Practitioner | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2015-05-20 |
| 1952702722 | Courtney Nikole Couture | Physician Assistant | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2014-09-11 |
| 1790111664 | Steven B Laye | Physician Assistant | 1500 Ross Clark Cir, Dothan, AL 36301 | 2013-09-23 |
| 1629317243 | Melea A Ross | Specialist/Technologist | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2013-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275516825 | Dennis Jason Smoak | Physician Assistant | 2431 W Main St Ste 1001, Dothan, AL 36301-6404 | 2005-11-28 |
| 1902801517 | Jeffrey Todd Norris | Physician Assistant | 4300 W Main St Ste 405, Dothan, AL 36305-1086 | 2005-06-20 |
| 1861028607 | Richard Henry Jester | Physician Assistant | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2020-03-12 |
| 1811482623 | James Daniel Martin | Physician Assistant | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2018-06-25 |
| 1891206439 | Allie Sarah Alford | Physician Assistant | 106 Westside Dr, Dothan, AL 36303 | 2017-10-23 |
| 1427578970 | Dennis Wade Stewart | Physician Assistant | 4370 W Main St, Dothan, AL 36305-1056 | 2017-06-26 |
| 1992236889 | Sydney K Givens | Physician Assistant | 106 Westside Dr, Dothan, AL 36303-1908 | 2017-03-23 |
| 1801333570 | Amere Hooshmand | Physician Assistant | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2017-01-19 |
| 1912364522 | Filippo Borsellino | Physician Assistant | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2016-01-27 |
| 1255798047 | Rachel Brooks | Physician Assistant | 106 Westside Dr, Dothan, AL 36303-1908 | 2016-01-25 |
| Find all providers in DOTHAN | ||||
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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.