JILL NICHOLAS (NPI# 1295288033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295288033 |
| Entity Type | Individual |
| Full Name | JILL NICHOLAS |
| Credential | NP-C |
| Practice Address |
5003 Hardy St Hattiesburg MS 39402-1319 |
| Mailing Address |
391 Sandhill Rd Ellisville MS 39437-8423 |
| Practice Telephone | 6012963530 |
| Mailing Telephone | 6013254765 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2017-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R881571 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5003 HARDY ST |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576458 | Claire C Morgan | Pediatrics | 5003 Hardy St, Hattiesburg, MS 39402-1319 | 2005-05-24 |
| 1548640642 | Womens Pavilion of South Mississippi Pllc | Clinic/Center | 5003 Hardy St, Suite 350, Hattiesburg, MS 39402-1319 | 2015-06-03 |
| 1760882815 | Womens Pavilion of South Mississippi Pllc | Obstetrics & Gynecology | 5003 Hardy St, Suite 300, Hattiesburg, MS 39402-1319 | 2014-08-26 |
| 1750667002 | Premier Orthopaedics & Sports Medicine, Pllc | Orthopaedic Surgery | 5003 Hardy St, Suite 401, Hattiesburg, MS 39402-1319 | 2011-11-01 |
| 1982744348 | Hattiesburg Neonatology, Pllc | Pediatrics | 5003 Hardy St, Suite 302, Hattiesburg, MS 39402-1319 | 2007-02-07 |
| 1073612651 | Neurosurgery of Hattiesburg, Pa | Neurological Surgery | 5003 Hardy St, Ste 401, Hattiesburg, MS 39402-1319 | 2006-09-21 |
| 1083691489 | Tracy Roseberry | Nurse Practitioner | 5003 Hardy St, Suite 350, Hattiesburg, MS 39402-1319 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278618 | Joshua Cole Hammons | Nurse Practitioner | 2134 Weeping Willow Cir, Hattiesburg, MS 39402-6096 | 2020-09-05 |
| 1518571900 | Lawanda Nicole Ellis | Nurse Practitioner | 4124 W 4th St Apt 2010, Hattiesburg, MS 39401-5791 | 2020-09-02 |
| 1851913768 | Maryam Rahmanian | Nurse Practitioner | 27 Lake Forgetful Apt 815, Hattiesburg, MS 39402-8288 | 2020-05-13 |
| 1477188332 | Stacy Williams | Nurse Practitioner | 18 Nicolaus Dr, Hattiesburg, MS 39402-8112 | 2020-03-10 |
| 1932740578 | Felisa Jeannette Hall | Nurse Practitioner | 216 Westover Dr, Hattiesburg, MS 39402-1374 | 2019-10-04 |
| 1164072278 | Vivian Wright Pittman | Nurse Practitioner | 108 Northwest Cir, Hattiesburg, MS 39401-4512 | 2019-09-19 |
| 1821650045 | Charlotte Denise Andrews | Nurse Practitioner | 198 Millpond Dr, Hattiesburg, MS 39401-5561 | 2019-07-08 |
| 1285107318 | Talphineta Alisha Kelly | Nurse Practitioner | 9 Waverly Cir, Hattiesburg, MS 39402-8375 | 2019-01-11 |
| 1467931642 | Shuntay Mccormick | Nurse Practitioner | 163 Augustine Dr, Hattiesburg, MS 39402-7836 | 2018-08-09 |
| 1548768260 | Tavithia Heidelburg | Nurse Practitioner | 4 Willow Pt Ste 40, Hattiesburg, MS 39402-1150 | 2018-01-28 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on JILL NICHOLAS.
| 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.