JORDAN REED (NPI# 1124663190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124663190 |
| Entity Type | Individual |
| Full Name | JORDAN REED |
| Credential | AGPCNP-BC |
| Practice Address |
3550 Highway 468 W Whitfield MS 39193-5529 |
| Mailing Address |
274 Trudy Ln Florence MS 39073-8309 |
| Practice Telephone | 6013518000 |
| Mailing Telephone | 6016049363 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
903602 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587605 | Jordan Tyler Reed | Pharmacist | 2875 W Mlk Blvd, Fayetteville, AR 72704-7625 | 2020-10-29 |
| 1639379365 | Jordan Kory Reed | Surgery | 24935 Toutant Beauregard Rd, San Antonio, TX 78255-3401 | 2007-07-20 |
| 1558900829 | Jordan Michael Reed | Chiropractor | 8999 Saint Charles Rock Rd, Saint Louis, MO 63114-4260 | 2020-01-03 |
| 1073983441 | Jordan Scheurer Reed | Emergency Medicine | 700 Spruce St, Philadelphia, PA 19106 | 2015-09-29 |
| 1245610203 | Jordan Levi Reed | Emergency Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2015-06-04 |
| 1780972596 | Jordan Christopher Reed | Physical Therapist | 205 Ne Dartmoor Dr, Waukee, IA 50263-9616 | 2011-07-13 |
| 1699864223 | Jordan Reed | Counselor | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2006-10-12 |
| Street Address |
3550 HIGHWAY 468 W |
| City | WHITFIELD |
| State | MS |
| Zip Code | 39193-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598750135 | Mississippi State Hospital | Pharmacy | 3550 Highway 468 W, Whitfield, MS 39193 | 2005-09-20 |
| 1427607688 | Chassity Nicole Vanderford | Nurse Practitioner | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2019-09-10 |
| 1528531985 | Ryane Plaster Doty | Nurse Practitioner | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2019-01-09 |
| 1750833984 | Clint Trest | Nurse Practitioner | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2016-11-04 |
| 1407209489 | Laura M Johnson | Nurse Practitioner | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2016-07-14 |
| 1871980995 | Billy Ray Walton | Nurse Practitioner | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2015-04-16 |
| 1699177634 | Shonna Pruitt Davis | Clinical Nurse Specialist | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2014-09-22 |
| 1407110554 | Chasity Lynne Torrence | Psychiatry & Neurology | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2012-07-03 |
| 1346511409 | Jenise Kohnke | Psychologist | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2012-01-21 |
| 1942501721 | Lemika Hays | Psychologist | 3550 Highway 468 W, Whitfield, MS 39193-5529 | 2010-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487150116 | Juletta Chisholm | Nurse Practitioner | 100 Hudspeth Center Dr, Whitfield, MS 39193 | 2018-04-02 |
| 1295014744 | Shazia Mulkana Frothingham | Psychologist | Building 51/psychological Services, Mississippi State Hospital, Whitfield, MS 39193 | 2011-08-15 |
| 1699803395 | Walter Robert Jones Jr. | Psychiatric Unit | Hwy 468, Hudspeth Regional Center, Whitfield, MS 39193 | 2007-03-02 |
| 1750448718 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | Highway 475 South, Whitfield, MS 39193 | 2007-01-02 |
| 1447315411 | Hudspeth Center Pharmacy | Pharmacy | 100 Hudspeth Center Drive, Whitfield, MS 39193 | 2006-12-27 |
| 1346234184 | Hudspeth Center Pharmacy | Intermediate Care Facility, Mentally Retarded | Highway 475, Whitfield, MS 39193 | 2005-09-08 |
| 1598256018 | Katherine Willoughby Carter | Occupational Therapist | 157 Building #27, Whitfield, MS 39193 | 2018-05-21 |
| 1316377633 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | 100 Hudspeth Center Drive, Whitfield, MS 39193 | 2013-11-22 |
| 1114210630 | Hudspeth Regional Center | Dentist | Highway 475 South, Whitfield, MS 39193 | 2011-05-17 |
| 1043536535 | Hudspeth Regional Center | Custodial Care Facility | Highway 475 South, Whitfield, MS 39193 | 2010-04-09 |
| Find all providers in zip 39193 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421746 | Rebecca Mcwhirter | Nurse Practitioner | 1512 Roswell Dr, Jackson, MS 39211-5928 | 2020-06-08 |
| 1548896301 | Rochelle Vanity Cork | Nurse Practitioner | 4635 Us-80, Pearl, MS 39208 | 2020-03-12 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1104387695 | Chatina Spears Martin | Nurse Practitioner | 308 Melba Hill Dr, Jackson, MS 39209-2833 | 2019-03-27 |
| 1366915886 | Rockell Ann Pearl Singleton | Nurse Practitioner | 6490 U S Highway 49 Apt 277, Hattiesburg, MS 39401-3013 | 2019-01-08 |
| 1326513920 | Jacquelyn Bruner Ray | Nurse Practitioner | 6102 11th Ave, Meridian, MS 39305-1219 | 2018-10-10 |
| 1487162319 | Mary Melvin Smith | Nurse Practitioner | 107 Cannon Run, Canton, MS 39046-8033 | 2018-01-12 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1417467168 | Jason Michael Butler | Nurse Practitioner | 129 Center St Ste B, Richland, MS 39218-4800 | 2017-10-09 |
| 1780125302 | Debra Brown Willis | Nurse Practitioner | 216 Belle Oak Dr, Brandon, MS 39042-8251 | 2017-03-15 |
| Find all providers with the same taxonomy | ||||
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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.