JERRY MILTON LYON (NPI# 1053626622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053626622 |
Entity Type | Individual |
Full Name | JERRY MILTON LYON |
Credential | FNP-BC |
Practice Address |
5000 Briarwood Ave Ste 203 Midland TX 79707 |
Mailing Address |
2505 Noel Ave Midland TX 79705-3336 |
Practice Telephone | 4326876870 |
Practice Fax Number | 4326875558 |
Mailing Telephone | 4326387311 |
Enumeration Date | 2010-08-08 |
Last Update Date | 2019-04-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP119132 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4815 E Highway 80, Midland, TX 797064475 | 4325712680 |
Street Address |
5000 BRIARWOOD AVE STE 203 |
City | MIDLAND |
State | TX |
Zip Code | 79707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922658319 | Venessa Ramirez Saldana | Nurse Practitioner | 5000 Briarwood Ave Ste 203, Midland, TX 79707-2753 | 2019-09-17 |
1750632998 | Chandra Lynn Keele | Nurse Practitioner | 5000 Briarwood Ave Ste 203, Midland, TX 79707 | 2012-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
1396196036 | Endurance Inc | Pharmacy | 4906 Briarwood, Midland, TX 79707 | 2016-06-23 |
1841683356 | Carson Riley Phillips | Dentist | 4425 W Wadley Ave Ste 100, Midland, TX 79707 | 2015-03-07 |
1336538610 | Permian Basin Er II | Clinic/Center | 3201 N. Midland Drive, Ste 130, Midland, TX 79707 | 2015-01-09 |
1659776342 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5315 Briarwood Ave, Midland, TX 79707 | 2014-10-24 |
1982958799 | Tara Rae Nagel | Nurse Practitioner | 4214 Mamies Cir, Midland Pediatric Associates, Midland, TX 79707 | 2012-10-31 |
1336432046 | Ashley Thrasher Bell | Physician Assistant | 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 | 2011-05-27 |
1053645838 | Marta Willoughby Md Pa | Clinic/Center | 3423 Caldera, Midland, TX 79707 | 2009-09-25 |
1326251950 | Bonnie Lloyd Clemmer | Registered Nurse | 3600 W Loop 250 North, Apt 1083, Midland, TX 79707 | 2007-05-08 |
1881711778 | Michael Patrick Wolbert | Allergy & Immunology | 5000 Briarwood Ave., Midland, TX 79707 | 2007-03-23 |
Find all providers in zip 79707 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679170732 | Infinity Health and Wellness LLC | Nurse Practitioner | 1028 Andrews Hwy Ste G, Midland, TX 79701-3815 | 2020-10-02 |
1659984771 | Amy Pennington | Nurse Practitioner | 5710 San Miguel Ave, Midland, TX 79705-2226 | 2020-08-28 |
1821607219 | Alena Vladimirovna Turner | Nurse Practitioner | 1210 Cedar Creek Rd, Midland, TX 79705-4471 | 2020-07-30 |
1235748880 | Emily Brooke Combs | Nurse Practitioner | 10100 E County Road 103, Midland, TX 79706-5494 | 2020-07-29 |
1154949378 | Sheila Shepherd | Nurse Practitioner | 2505 Goddard Dr, Midland, TX 79705-3308 | 2020-07-14 |
1073149464 | Stephanie Parker Black | Nurse Practitioner | 1101 W Illinois Ave, Midland, TX 79701-6156 | 2020-03-17 |
1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
1205477874 | Justin Shanks | Nurse Practitioner | 1218 Century Dr, Midland, TX 79703-6914 | 2019-10-03 |
1265081616 | Stephanie Crawford | Nurse Practitioner | 3408 W County Road 185, Midland, TX 79706-7843 | 2019-09-09 |
1548819048 | Stella Elizabeth May | Nurse Practitioner | 1101 E County Road 128, Midland, TX 79706-6521 | 2019-09-06 |
Find all providers in MIDLAND |
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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.