WENDY BURKS PEVAHOUSE


Address: 9 Physicians Dr, Jackson, TN 38305-2071
Phone: 7317724199

WENDY BURKS PEVAHOUSE (NPI# 1194149385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194149385
Entity Type Individual
Full Name WENDY BURKS PEVAHOUSE
Credential APN
Practice Address 9 Physicians Dr
Jackson
TN 38305-2071
Practice Telephone 7317724199
Mailing Telephone 7317724199
Enumeration Date 2014-02-10
Last Update Date 2020-01-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
18424 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN Q009893 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2565 N Washington Ave, Brownsville, TN 380121610 7317724199

Office Location

Street Address 9 PHYSICIANS DR
City JACKSON
State TN
Zip Code 38305-2071

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700873056 Allan M Menachem Internal Medicine 9 Physicians Dr, Jackson, TN 38305-2071 2005-10-03
1306389903 Anahita Meshkani Nurse Practitioner 9 Physicians Dr, Jackson, TN 38305-2071 2016-11-30
1528482809 Brittany Harris Registered Nurse 9 Physicians Dr, Jackson, TN 38305-2071 2014-02-07
1164762498 Brittney Jaynes Tucker Nurse Practitioner 9 Physicians Dr, Jackson, TN 38305 2013-02-23
1689982431 Tennessee Anesthesia Network Services LLC Anesthesiology 9 Physicians Dr, Jackson, TN 38305-2071 2010-09-15
1396063012 Jackson Medical Services Nurse Anesthetist, Certified Registered 9 Physicians Dr, Jackson, TN 38305-2071 2010-05-05
1891770921 Linda Renee Miller Internal Medicine 9 Physicians Dr, Jackson, TN 38305-2071 2005-12-13
1104814805 Stacey S Hodges Licensed Practical Nurse 9 Physicians Dr, Jackson, TN 38305 2005-10-07
1740277821 Transsouth Health Care PC Clinic/Center 9 Physicians Dr, Jackson, TN 38305-2071 2005-10-04
1316934664 Bob T Souder Internal Medicine 9 Physicians Dr, Jackson, TN 38305-2071 2005-10-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427656818 Kimaya Jelks Specialist 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 2020-10-16
1821600578 Maame Obeng Pharmacist 3144 North Highland Avenue, Jackson, TN 38305 2020-08-22
1700361904 James Cowie Psychologist 156c West University Pkwy, Jackson, TN 38305 2018-10-03
1700372109 Chad Zawacki Physician Assistant 147 North Star Drive, Jackson, TN 38305 2018-07-09
1104323070 Golden Years Adult Day Care Clinic/Center 155 Carriage Dr Suite A, Jackson, TN 38305 2018-04-09
1245754563 Tanika Annette Gillard Massage Therapist 4 Hampton Ln, Jackson, TN 38305 2017-07-28
1316488117 Lakisha T Ingram Counselor 168 Greencastle Dr, Jackson, TN 38305 2017-03-13
1619421567 D & L Wellness Inc Community/Behavioral Health 154 Carriage House Dr., Jackson, TN 38305 2016-08-09
1649637638 Advance Choice Home Care LLC In Home Supportive Care 1028 Ashport Rd., Jackson, TN 38305 2016-01-21
1942666151 Neurohealth Solutions Inc. Clinic/Center 174 Murray Guard Dr. Suite E, Jackson, TN 38305 2016-01-05
Find all providers in zip 38305

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City JACKSON
Zip Code 38305

Improve Information

Please comment or provide details below to improve the information on WENDY BURKS PEVAHOUSE.

Dataset Information

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.

Trending Searches