TANYANEKA WILSON (NPI# 1104243831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104243831 |
| Entity Type | Individual |
| Full Name | TANYANEKA WILSON |
| Credential | FNP-BC |
| Practice Address |
2701 Davis St Meridian MS 39301-5708 |
| Practice Telephone | 6016930118 |
| Practice Fax Number | 8447788922 |
| Mailing Telephone | 6016930118 |
| Mailing Fax Number | 6015538175 |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R862382 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04671271 | 05 |
| Street Address |
2701 DAVIS ST |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427036615 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2701 Davis St, Meridian, MS 39301-5708 | 2006-01-06 |
| 1164038444 | Jalisha Brown | Nurse Practitioner | 2701 Davis St, Meridian, MS 39301-5708 | 2020-09-22 |
| 1417517830 | Tiffany Alyssa Roulier | Nurse Practitioner | 2701 Davis St, Meridian, MS 39301 | 2019-06-18 |
| 1215437058 | Rekita Dechelle Mccoy | Family Medicine | 2701 Davis St, Meridian, MS 39301-5708 | 2018-02-19 |
| 1538682307 | Anna Morton Epley | Dentist | 2701 Davis St, Meridian, MS 39301-5708 | 2017-07-24 |
| 1265982417 | Kelvin Knowles | Nurse Practitioner | 2701 Davis St, Meridian, MS 39301-5708 | 2016-10-12 |
| 1639540958 | Tekira Hypolite | Dentist | 2701 Davis St, Meridian, MS 39301-5708 | 2015-10-13 |
| 1992110225 | Tammy Shadwick | Dietitian, Registered | 2701 Davis St, Meridian, MS 39301-5708 | 2014-06-25 |
| 1477829315 | Ernest Addo Donkor | Pediatrics | 2701 Davis St, Meridian, MS 39301-5708 | 2012-03-26 |
| 1497047971 | Kimkeshia Neshell Morgan | Nurse Practitioner | 2701 Davis St, Meridian, MS 39301-5708 | 2011-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427152 | Christopher Alan Anthony Nicholas | Nurse Practitioner | 2889 N Chancery Pl, Meridian, ID 83646-7407 | 2020-11-05 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1649885534 | Auston Whitmer | Nurse Practitioner | 2203 E Ringneck St, Meridian, ID 83646-7410 | 2020-09-09 |
| 1407460157 | Kimberly N Lacap | Nurse Practitioner | 5961 Hwy 145, Meridian, MS 39301-9761 | 2020-09-01 |
| 1134733728 | Courtney S Dubose | Nurse Practitioner | 8252 Lizelia Rd, Meridian, MS 39305-8511 | 2020-09-01 |
| 1740890698 | Kimberly Parker | Nurse Practitioner | 4708 Hickory Hills Cir, Meridian, MS 39305-2440 | 2020-08-05 |
| 1396369138 | Tracy Ann Roberts | Nurse Practitioner | 3639 S Arno Ave, Meridian, ID 83642-1396 | 2020-06-06 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1285293639 | Lindsey Sand | Nurse Practitioner | 2347 E Gala St # 150, Meridian, ID 83642-4881 | 2019-06-10 |
| Find all providers in MERIDIAN | ||||
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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.