MRS. ANNA MARIE KETCHUM


Address: 971 Lakeland Drive, Ste 1052, Jackson, MS 39216
Phone: 6019819503

MRS. ANNA MARIE KETCHUM (NPI# 1295117505) 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) 1295117505
Entity Type Individual
Full Name MRS. ANNA MARIE KETCHUM
Credential RNP
Practice Address 971 Lakeland Drive
Ste 1052
Jackson
MS 39216
Practice Telephone 6019819503
Practice Fax Number 6019817895
Mailing Telephone 6019819503
Mailing Fax Number 6019817895
Enumeration Date 2015-06-23
Last Update Date 2015-06-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R883090 MS Physician Assistants & Advanced Practice Nursing Providers

Other Providers ANNA KETCHUM

NPI Name Taxonomy Address Enumeration
1447643846 Anna L Ketchum Counselor 401 E 3rd St, The Dalles, OR 97058-2562 2015-03-09

Office Location

Street Address 971 LAKELAND DRIVE
STE 1052
City JACKSON
State MS
Zip Code 39216

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477563104 Amanda Reagan Schiefer Internal Medicine 971 Lakeland Drive, Jackson, MS 39126 2006-08-08
1326562968 Stephanie Nichole Love Nurse Practitioner 971 Lakeland Drive, Suite 401 East Tower, Jackson, MS 39216 2017-07-26
1770987638 Jackson Neurocare, Pllc Psychiatry & Neurology 971 Lakeland Drive, Suite 557, West Tower, Jackson, MS 39216-4607 2014-10-21
1023323029 Vanessa L. Sandifer, M.d., Pllc Internal Medicine 971 Lakeland Drive, Suite 450, Jackson, MS 39216-0450 2010-08-13
1780902155 Raymond F. Grenfell, IIi., M.d., Pllc Internal Medicine 971 Lakeland Drive, Suite 450, Jackson, MS 39216 2010-05-11
1346370921 Muscle and Nerve Pa Psychiatry & Neurology 971 Lakeland Drive, Suite 560, Jackson, MS 39216 2007-03-06
1700911096 Donald L Seago Dentist 971 Lakeland Drive, Suite 225, Jackson, MS 39216-4643 2007-02-23
1316089634 David E Seago Dentist 971 Lakeland Drive, Suite 225, Jackson, MS 39216-4643 2007-02-13
1427190750 Stephen R Gandy Dentist 971 Lakeland Drive, Suite 225, Jackson, MS 39216-4643 2007-02-13
1285781153 Berthrone Lacalvin Mock-muhammad Internal Medicine 971 Lakeland Drive, Jackson, Jackson, MS 39216-4608 2007-01-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

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 39216

Improve Information

Please comment or provide details below to improve the information on MRS. ANNA MARIE KETCHUM.

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