MRS. REBECCA PERRY WARD (NPI# 1003969304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003969304 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA PERRY WARD |
| Credential | FNP |
| Practice Address |
4381 South Eason Blvd Longtown Medical Park Tupelo MS 38801 |
| Mailing Address |
214 Dogwood Est Booneville MS 38829-8273 |
| Practice Telephone | 6623777354 |
| Practice Fax Number | 6623775301 |
| Mailing Telephone | 6627281154 |
| Mailing Fax Number | 6627281154 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R686093 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0114215 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052423 | Rebecca A Ward | Technician | 709 Victoria Blvd Ne, Belcourt, ND 58316-5831 | 2020-10-29 |
| 1710330162 | Rebecca Ward | Massage Therapist | 176 Atlanta St, Suite B, Mcdonough, GA 30253-2110 | 2016-07-21 |
| 1932585189 | Rebecca A Ward | Marriage & Family Therapist | 582 Market St Ste 1011, San Francisco, CA 94104-5311 | 2015-08-10 |
| 1467884254 | Rebecca Ward | Occupational Therapy Assistant | 1897 Longdale Dr, Decatur, GA 30032-5243 | 2013-08-02 |
| 1174781470 | Rebecca Hobbs Ward | Registered Nurse | 155 Turner Rd, Statesboro, GA 30458-6424 | 2008-05-23 |
| 1073540555 | Rebecca Ward | Social Worker | 415 N Mckinley Suite 510, Little Rock, AR 72205 | 2006-06-28 |
| 1386266807 | Rebecca Ward | Registered Nurse | 940 Ga Highway 96, Warner Robins, GA 31088-2584 | 2020-05-07 |
| 1548820822 | Rebecca Ann Ward | Nurse Practitioner | 3410 E Johnson Ave Ste T, Jonesboro, AR 72401-2032 | 2019-06-18 |
| 1194388611 | Rebecca Lynn Ward | Counselor | 182 Sw Academy St, Dallas, OR 97338-1996 | 2019-04-19 |
| 1275077356 | Rebecca Ann Ward | Registered Nurse | 2000 Hampton St, Columbia, SC 29204-1002 | 2016-12-08 |
| Street Address |
4381 SOUTH EASON BLVD LONGTOWN MEDICAL PARK |
| City | TUPELO |
| State | MS |
| Zip Code | 38801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851484240 | Nicole M Hindman | Nurse Practitioner | 4381 South Eason Blvd, Tupelo, MS 38801 | 2006-09-30 |
| 1134320831 | North Mississippi Pain Management Center | Clinic/Center | 4381 South Eason Blvd, Suite 203, Tupelo, MS 38801 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336789387 | Michelle Gardner Briley | Nurse Practitioner | 341 E Main St Ste A1, Tupelo, MS 38804-4040 | 2020-01-07 |
| 1891347522 | Lisa Pierce | Nurse Practitioner | 913 Holly Hill Dr, Tupelo, MS 38801-2361 | 2019-07-12 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1992234959 | Pro Health Clinic,llc | Nurse Practitioner | 4127 W Main St, Tupelo, MS 38801-8129 | 2017-06-05 |
| 1053845610 | Precious Montgomery | Nurse Practitioner | 173 Carr Vista Rd, Tupelo, MS 38801-8604 | 2017-04-20 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1528465424 | Advanced Diabetes Management Center LLC | Nurse Practitioner | 449 Gloster Creek, Suite H-9, Tupelo, MS 38801-0000 | 2014-11-21 |
| 1699051508 | Angela Sima Clegg | Nurse Practitioner | 942 Commonwealth Blvd, Tupelo, MS 38804-9762 | 2011-10-25 |
| 1427299213 | Kathi Ann Hood Tomsky | Nurse Practitioner | 2071 S Green St, Tupelo, MS 38804-6512 | 2009-03-09 |
| Find all providers in TUPELO | ||||
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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.