MRS. LISA JEWEL ALEXANDER NWOKOLO (NPI# 1164767133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164767133 |
Entity Type | Individual |
Full Name | MRS. LISA JEWEL ALEXANDER NWOKOLO |
Credential | FNP |
Practice Address |
700 W Forest Ave Ste 300 Jackson TN 38301-3937 |
Mailing Address |
Po Box 400 Jackson TN 38302-0400 |
Practice Telephone | 7314220330 |
Practice Fax Number | 7314220471 |
Mailing Telephone | 7314238697 |
Mailing Fax Number | 7314225743 |
Enumeration Date | 2012-12-03 |
Last Update Date | 2013-02-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000017088 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
700 W FOREST AVE STE 300 |
City | JACKSON |
State | TN |
Zip Code | 38301-3937 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801881958 | Heath Broussard | Surgery | 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 | 2005-09-14 |
1659723823 | Jennifer S Mcfarland | Nurse Practitioner | 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 | 2016-07-12 |
1487970497 | William Charles Barrow | Psychiatry & Neurology | 700 W Forest Ave, Ste 200, Jackson, TN 38301-3937 | 2010-04-15 |
1033448642 | Amanda Caroline Holley | Audiologist | 700 W Forest Ave, Ste. 300, Jackson, TN 38301-3937 | 2009-12-10 |
1275868390 | West Tennessee Medical Group Inc | Durable Medical Equipment & Medical Supplies | 700 W Forest Ave, Suite 200, Jackson, TN 38301-3937 | 2009-10-07 |
1689816142 | Timothy Philip Love | Surgery | 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 | 2009-03-30 |
1407092836 | Margaret J Spragins | Nurse Practitioner | 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 | 2009-01-07 |
1063675692 | Fausta Ditah | Internal Medicine | 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 | 2008-07-03 |
1760653505 | Timothy Chad Davenport | Urology | 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 | 2008-03-20 |
1356528442 | Shahzad Shah | Internal Medicine | 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 | 2008-01-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
Find all providers in zip 38301 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073113627 | Jessicah Blasdel | Nurse Practitioner | 113 W Michigan Ave, Jackson, MI 49201-1340 | 2020-10-31 |
1801406335 | Jade Russell | Nurse Practitioner | 2205 W Morrell St, Jackson, MI 49203-1357 | 2020-08-10 |
1992315212 | Patrecia Campbell | Nurse Practitioner | 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 | 2020-08-01 |
1669008926 | Kristine Edwards | Nurse Practitioner | 723 Woodlawn Ave, Jackson, MI 49203-2921 | 2020-03-19 |
1295366391 | Christy White | Nurse Practitioner | 363 Old Pinson Rd, Jackson, TN 38301-9576 | 2020-01-28 |
1972141620 | Primary Care - Bemis, LLC | Nurse Practitioner | 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 | 2019-12-12 |
1174164263 | Tami Anne Miller | Nurse Practitioner | 124 N Bast St, Jackson, MO 63755-1704 | 2019-10-01 |
1265080584 | Cameron Nicole Howard | Nurse Practitioner | 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 | 2019-08-29 |
1831750843 | Rhiannon Michelle Andresen | Nurse Practitioner | 1022 Greystone Sq, Jackson, TN 38305-3580 | 2019-06-21 |
1902376361 | Jenay B Krumm | Nurse Practitioner | 1201 E Michigan Ave Ste 200, Jackson, MI 49201-1855 | 2018-11-28 |
Find all providers in JACKSON |
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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.