MRS. JENNIFER EDINGTON WADE (NPI# 1134349699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134349699 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER EDINGTON WADE |
| Credential | APRN, BC |
| Practice Address |
967 Regional Center Dr Oxford MS 38655-3551 |
| Mailing Address |
365 County Road 489 Calhoun City MS 38916-9676 |
| Practice Telephone | 6625138507 |
| Practice Fax Number | 6622341699 |
| Mailing Telephone | 6623122905 |
| Mailing Fax Number | 6622341699 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R862362 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521418 | Jennifer Wade | Social Worker | 7 Dempsey Pl, Eastchester, NY 10709-4427 | 2020-09-02 |
| 1336595172 | Jennifer Wade | Speech-Language Pathologist | 336 Ramblin Rd, Quitman, GA 31643-5809 | 2016-05-11 |
| 1285092114 | Jennifer Wade | Registered Nurse | 22601 Essex Way St, Southfield, MI 48033-3331 | 2016-02-06 |
| 1487996104 | Jennifer Wade | Occupational Therapy Assistant | 42211 N 41st Dr Ste 145, Anthem, AZ 85086-3812 | 2013-03-20 |
| 1194077206 | Jennifer A Wade | Pharmacist | 10870 W Dora Ct, Wichita, KS 67209-1263 | 2012-10-12 |
| 1528318219 | Jennifer M Wade | Licensed Practical Nurse | 165 E Ohio Ave, Sebring, OH 44672-1410 | 2012-09-11 |
| 1265664361 | Jennifer Sue Wade | Occupational Therapist | 1101 N 11th St, Herrin, IL 62948-2847 | 2009-08-22 |
| 1447868807 | Jennifer Marie Wade | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2020-07-21 |
| 1578125779 | Jennifer Adrienne Wade | Nurse Practitioner | 4411 Medical Dr Ste 300, San Antonio, TX 78229-3824 | 2019-07-08 |
| 1255798989 | Jennifer Wade | Occupational Therapist | 808 S 52nd St, Rogers, AR 72758-8602 | 2016-01-26 |
| Street Address |
967 REGIONAL CENTER DR |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033102884 | N.m.r.c. Pharmacy | Pharmacy | 967 Regional Center Dr, Oxford, MS 38655 | 2005-08-26 |
| 1639705338 | Brittney Leeann James | Registered Nurse | 967 Regional Center Dr, Oxford, MS 38655-3551 | 2020-03-13 |
| 1598130114 | Micaela Delashmit Perkins | Registered Nurse | 967 Regional Center Dr, Oxford, MS 38655-3551 | 2015-12-08 |
| 1275903197 | Sherrie Jenkins | Nurse Practitioner | 967 Regional Center Dr, Oxford, MS 38655-3551 | 2015-10-05 |
| 1902275761 | Molly Shivers Cutcliffe | Nurse Practitioner | 967 Regional Center Dr, Oxford, MS 38655-3551 | 2015-09-22 |
| 1093948564 | Rachel Bright | Speech-Language Pathologist | 967 Regional Center Dr, Oxford, MS 38655-3551 | 2009-08-31 |
| 1295968774 | Katrina Simmons Doss | Speech-Language Pathologist | 967 Regional Center Dr, Oxford, MS 38655-3551 | 2009-08-31 |
| 1700019288 | Janet Little King | Speech-Language Pathologist | 967 Regional Center Dr, Oxford, MS 38655-3551 | 2009-08-31 |
| 1902039845 | Johnnie V Wilson | Speech-Language Pathologist | 967 Regional Center Dr, Oxford, MS 38655-3551 | 2009-08-26 |
| 1891944278 | Gail Tidwell Brown | Specialist | 967 Regional Center Dr, Oxford, MS 38655-3551 | 2008-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124632716 | Oxford Specialty Clinic | Nurse Practitioner | 1205 Office Park Dr, Oxford, MS 38655-3545 | 2020-09-01 |
| 1659994044 | Christopher Killis Scruggs | Nurse Practitioner | 132 Yocona Ridge Rd, Oxford, MS 38655-6904 | 2020-05-20 |
| 1164062105 | Sarah Marie Fitzpatrick | Nurse Practitioner | 1070 Brookside Ct, Oxford, MI 48371-6055 | 2020-01-07 |
| 1710522198 | Laura Nicole Kelleway | Nurse Practitioner | 23 County Road 205, Oxford, MS 38655-9794 | 2019-11-09 |
| 1780225441 | Lija Turaida Moncrieff-austin | Nurse Practitioner | 500 E Peninsula Ct, Oxford, MI 48371-3669 | 2019-10-03 |
| 1861044026 | Mirian Thiruchendru | Nurse Practitioner | 72 S Washington St Ste 102, Oxford, MI 48371-6421 | 2019-07-09 |
| 1649752312 | Aubrey Michelle Mcintosh | Nurse Practitioner | 904 Crestmoor Dr, Oxford, MI 48371-4870 | 2018-08-30 |
| 1760969208 | Tina Gail Bryan | Nurse Practitioner | 7 County Road 469, Oxford, MS 38655-8279 | 2018-07-27 |
| 1699277509 | Lindsey Wall Hemphill | Nurse Practitioner | 45 County Road 277, Oxford, MS 38655-8739 | 2018-03-06 |
| 1023527017 | Katherine Waters | Nurse Practitioner | 2301 S Lamar Blvd # 140, Oxford, MS 38655-5373 | 2017-09-22 |
| Find all providers in OXFORD | ||||
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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.