JENNA BROOKE PUGH (NPI# 1124660063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124660063 |
Entity Type | Individual |
Full Name | JENNA BROOKE PUGH |
Credential | FNP |
Practice Address |
2160 County Road 130 Carrollton MS 38917-5731 |
Practice Telephone | 6622995366 |
Enumeration Date | 2019-10-11 |
Last Update Date | 2019-10-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
903532 | MS | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750788899 | Jenna Pugh | Speech-Language Pathologist | 3131 Tom Austin Hwy, Springfield, TN 37172-4801 | 2014-12-03 |
Street Address |
2160 COUNTY ROAD 130 |
City | CARROLLTON |
State | MS |
Zip Code | 38917-5731 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356443410 | Richard Daniel Hill | Dentist | 613 Lexington Street, Carrollton, MS 38917 | 2006-09-01 |
1912270406 | Carroll County General Dentistry, LLC | Dentist | 613 Lexington Street, Carrollton, MS 38917 | 2012-02-15 |
1194076596 | Ashlee Nicole Westmoreland | Speech-Language Pathologist | 3782 County Road 41, Carrollton, MS 38917-5681 | 2012-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982205753 | Pickens County Primary Care PC | Clinic/Center | 99 Commerce Avenue, Carrollton, AL 35447 | 2020-11-06 |
1871194753 | Jennifer Renee Miller | Social Worker | 4645 Plano Pkwy Apt 9303, Carrollton, TX 75010-4963 | 2020-11-05 |
1629679147 | Magdoleen Awad | Nurse Practitioner | 1602 Morning Dove Ct, Carrollton, TX 75007-1462 | 2020-11-02 |
1942800842 | Arsalan Ahmed | Pharmacy Technician | 1801 Addington Dr, Carrollton, TX 75007-3009 | 2020-10-29 |
1558960062 | Jessica Pasquale | Registered Nurse | 1206 Rooney Ln, Carrollton, TX 75007-1054 | 2020-10-26 |
1114526969 | Green Oaks Physical Therapy Limited Partnership | Physical Therapist | 2710 N Josey Ln Ste 301, Carrollton, TX 75007-5400 | 2020-10-22 |
1598364390 | Majoreactions LLC | Specialist | 1628 W Hebron Pkwy Ste 103, Carrollton, TX 75010-6311 | 2020-10-22 |
1477152809 | Wellovation LLC | Counselor | 1220 W Trinity Mills Rd, Carrollton, TX 75006-1303 | 2020-10-16 |
1245838358 | Hillpoint Homecare Inc | In Home Supportive Care | 2245 Keller Way Ste 370, Carrollton, TX 75006-2515 | 2020-10-12 |
1639777899 | White Coat Sciences LLC | Clinical Medical Laboratory | 315 Bankhead Hwy Ste A, Carrollton, GA 30117-2487 | 2020-10-11 |
Find all providers in CARROLLTON |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619583531 | Tessy M. John | Nurse Practitioner | 1656 Audubon Ct, Carrollton, TX 75010-2145 | 2020-09-16 |
1619589769 | Hyo Sook Choi | Nurse Practitioner | 2324 Old Denton Rd Ste 100, Carrollton, TX 75006-1440 | 2020-08-20 |
1861001000 | Allwell Health Care | Nurse Practitioner | 1001 E Hebron Pkwy Ste 118-297, Carrollton, TX 75010-1002 | 2020-07-23 |
1114536364 | Gloria Oluchi Ikonne | Nurse Practitioner | 1001 East Hebron Pkwy Suite 118-297, Carrollton, TX 75010-1015 | 2020-07-23 |
1851909717 | Antoinae Hawkins | Nurse Practitioner | 1110 E Branch Hollow Dr Apt 356, Carrollton, TX 75007-1072 | 2020-07-16 |
1770106429 | Rhema Healthcare Services | Nurse Practitioner | 1420 Valwood Pkwy Ste No20170a, Carrollton, TX 75006-8312 | 2020-05-28 |
1255968004 | Eunjung Kim | Nurse Practitioner | 4444 Saukenuk Ln, Carrollton, TX 75010-1203 | 2020-03-23 |
1760023972 | Amy Rowell | Nurse Practitioner | 150 Clinic Ave Ste 201, Carrollton, GA 30117-4402 | 2019-09-30 |
1083270557 | Ray Thomas | Nurse Practitioner | 1033 Dame Carol Way, Carrollton, TX 75010-2357 | 2019-05-10 |
1922662014 | Kiran Noorali | Nurse Practitioner | 4221 Old Denton Rd Apt 3108, Carrollton, TX 75010-2323 | 2019-04-24 |
Find all providers in CARROLLTON |
City | CARROLLTON |
Zip Code | 38917 |
Please comment or provide details below to improve the information on JENNA BROOKE PUGH.
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.