J WILSON HEALTH LLC (NPI# 1336781657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336781657 |
| Entity Type | Organization |
| Organization Name | J WILSON HEALTH LLC |
| Practice Address |
5100 Poplar Ave, Fl 27 Ste 2719a Memphis TN 38137-2701 |
| Mailing Address |
5100 Poplar Ave Fl 27 Ste 2719a Memphis TN 38137-2701 |
| Practice Telephone | 9012350957 |
| Mailing Telephone | 9012350957 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | SHAQUITA A STARKS (OWNER OF ENTITY) |
| Authorized Official Telephone | 9012350957 |
| Authorized Official Credential | PMHNP-BC, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 381372701 | 9012350957 |
| Street Address |
5100 POPLAR AVE, FL 27 STE 2719A |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38137-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468881 | Loving Arms Adult Day Care Staffing Agency, LLC | Home Health | 5100 Poplar Ave., 5100 Poplar Ave.suite 2732, Memphis, TN 38137 | 2018-05-23 |
| 1467746263 | Turning Point Home Health, Inc. | Home Health | 5100 Poplar Avenue, Suite 812, Memphis, TN 38137 | 2011-06-09 |
| 1902395239 | Shuntay Latrice Wesby | Nurse Practitioner | 5100 Poplar Ave Ste 2700, Memphis, TN 38137 | 2018-05-02 |
| 1285137380 | Kamika Sharee Wall | Registered Nurse | 5100 Poplar Ave Ste 2700, Memphis, TN 38137 | 2018-03-14 |
| 1184170268 | Molly Ledbetter | Registered Nurse | 5100 Poplar Ave Ste 2700, Memphis, TN 38137 | 2016-08-29 |
| 1710323696 | Patient Support Services, Inc. | Durable Medical Equipment & Medical Supplies | 5100 Poplar Ave, Suite 2883, Memphis, TN 38137 | 2013-05-17 |
| 1982225124 | Capitol City Family Services | Counselor | 5100 Poplar Ave Ste 202, Memphis, TN 38137-0202 | 2020-04-28 |
| 1427546415 | Christopher Nelson | Internal Medicine | 5100 Poplar Ave Ste 512, Memphis, TN 38137-0500 | 2018-04-25 |
| 1831262690 | Adrienne Michelle Jones | Physical Therapist | 5100 Poplar Ave Ste 525, Memphis, TN 38137-0525 | 2006-11-17 |
| 1295346260 | Jimarie Nelson | Nurse Practitioner | 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 | 2020-08-13 |
| Find all providers in zip 38137 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049977 | Toya Owens | Nurse Practitioner | 2565 Mackinnon Dr, Memphis, TN 38119-7903 | 2020-09-26 |
| 1679197974 | Billi-jo Fulton | Nurse Practitioner | 6932 Guyder Rd, Memphis, NY 13112-8711 | 2020-06-02 |
| 1417518077 | Raghib Dennis | Nurse Practitioner | 1518 Arbor View Ct Apt 206, Memphis, TN 38134-8859 | 2019-06-25 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1407115579 | Allyson Brooke Williams | Nurse Practitioner | 5050 Poplar Avenue Suite 511, Memphis, TN 38157-0618 | 2012-05-10 |
| 1497883607 | Gerome Alonzo Grivas | Nurse Practitioner | 3175 Lenox Park Blvd Ste 412, Memphis, TN 38115-4256 | 2007-03-01 |
| 1831172444 | Len N. Getz | Nurse Practitioner | 708 S Mendenhall Rd, Memphis, TN 38117-5213 | 2005-11-29 |
| 1326046707 | Angela C Hammond | Nurse Practitioner | 2579 Douglass Ave, Southeast Mental Health Center, Memphis, TN 38114-2532 | 2005-07-11 |
| 1447859053 | Willie Faye Kelly | Nurse Practitioner | 951 Court Ave, Memphis, TN 38103-2813 | 2020-10-23 |
| 1225643018 | Melanie Warren | Nurse Practitioner | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-09-09 |
| Find all providers in MEMPHIS | ||||
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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.