DR. THERESA DODDATO


Address: 1207 N West St, Jackson, MS 39202-2018
Phone: 6013546654

DR. THERESA DODDATO (NPI# 1326007881) 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) 1326007881
Entity Type Individual
Full Name DR. THERESA DODDATO
Credential RN, PH.D
Practice Address 1207 N West St
Jackson
MS 39202-2018
Mailing Address 130 Waterwood Dr
Brandon
MS 39047-6527
Practice Telephone 6013546654
Practice Fax Number 6013546289
Mailing Telephone 6019191631
Enumeration Date 2006-03-22
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP2201X Registered Nurse
Specialization: Ambulatory Care
R856512 NY Nursing Service Providers

Office Location

Street Address 1207 N WEST ST
City JACKSON
State MS
Zip Code 39202-2018

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316906308 Joyce Brewer Nurse Practitioner 1207 N West St, Jackson, MS 39202-2018 2006-03-20
1396017646 Mary K Fouquier Nurse Practitioner 1207 N West St, Jackson, MS 39202-2018 2012-02-02
1902854706 Janet R Cooper Registered Nurse 1207 N West St, Jackson, MS 39202-2018 2006-05-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234183 Eva Mackenzie Carmody Physician Assistant 1190 N State St Suite 502, Jackson, MS 39202 2020-01-16
1750868691 Katherine Walters Nurse Practitioner 501 Marshall St., Suite 400, Jackson, MS 39202 2018-07-24
1932638749 Tylan Lee Social Worker 860 East River Place Suite 100, Jackson, MS 39202 2017-06-06
1417314725 Euna Jyles Counselor 860 E River Pl, Jackson, MS 39202 2016-01-19
1255712048 Edward Jonathan Breight Specialist/Technologist 1325 East Fortication Street, Jackson, MS 39202 2015-06-17
1881037703 Kara Spinks Logan Surgery 1190 N State St Ste 502, Jackson, MS 39202 2013-04-10
1477876530 Mick Inc. Technician 334 Josanna Street, Suite #209, Jackson, MS 39202 2010-03-03
1073724910 Paul Frederic Dare Anesthesiology 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 2007-05-24
1225247703 Lynn Kincannon Holland Counselor 911 Manship Street, Unit A, Jackson, MS 39202 2007-05-22
1457568149 Incare Inc Pulmonary Function Technologist 1151 North State St, Suite 406, Jackson, MS 39202 2007-05-16
Find all providers in zip 39202

Taxonomy Information

Taxonomy Code 163WP2201X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Ambulatory Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275691008 Karen Metsger Cooper Registered Nurse 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2006-12-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346510450 Quality Care Staffing Registered Nurse 333 Yazoo St, Lexington, MS 39095-3644 2012-01-05
1215035985 Robin Delain Greene-brownlee Registered Nurse 9824 Highway 42, Richton, MS 39476-8885 2006-09-20
1427421528 Correal J Garrison Registered Nurse 216 Oxford Rd, New Albany, MS 38652-3115 2015-11-11
1174908420 Melody Horton-drummond Registered Nurse 1800 Beach Dr, Gulfport, MS 39507-1553 2015-07-28
1891105466 Robin Thompson Registered Nurse 201 Independence, Columbus, MS 39710-5300 2014-05-05
1336559525 Melissa Lesley Mouchette Registered Nurse 201 Independence, Columbus, MS 39710-5300 2014-04-28

Competitor

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City JACKSON
Zip Code 39202

Improve Information

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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.

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