MS. JENNIFER K WARREN (NPI# 1356707400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356707400 |
Entity Type | Individual |
Full Name | MS. JENNIFER K WARREN |
Credential | PMHNP-BC |
Practice Address |
315 Magazine St Ste C Tupelo MS 38804-4802 |
Mailing Address |
144 S Thomas St Ste 207 Tupelo MS 38801-5337 |
Practice Telephone | 6622601011 |
Mailing Telephone | 6622056905 |
Enumeration Date | 2016-01-05 |
Last Update Date | 2020-07-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
901407 | MS | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2434 S Eason Blvd, Tupelo, MS 388046942 | 6625243323 | 6626806416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336783125 | Jennifer Warren | Counselor | 127 S Court Sq, Ozark, AL 36360-0401 | 2019-11-05 |
1982121885 | Jennifer Elizabeth Warren | Nurse Practitioner | 1144 Sonoma Ave Ste 119, Santa Rosa, CA 95405-4812 | 2017-08-23 |
1497138705 | Jennifer Warren | Community Health Worker | 32 Newell Ave, Trenton, NJ 08618 | 2015-07-06 |
1407251846 | Jennifer Warren | Social Worker | 6 Palmer Ave, Suite 7, Scarsdale, NY 10583 | 2014-10-28 |
1770876831 | Jennifer Elaine Warren | Counselor | 1047 Lake Dr, Santa Rosa, NM 88435-2561 | 2011-05-24 |
1285944884 | Jennifer Jo Warren | Social Worker | 4925 Se 79th Ave, Portland, OR 97206-4215 | 2010-10-15 |
1902027428 | Jennifer Anne Warren | Dietitian, Registered | 1225 North State Street, Jackson, MS 39202 | 2007-05-01 |
1558377457 | Jennifer B Warren | Pharmacist | 2110 N Maize Rd Ste 500, Wichita, KS 67212-5200 | 2006-07-31 |
1417908070 | Jennifer Warren | Physical Therapy Assistant | 315 E Union Ave, Osceola, AR 72370-3235 | 2006-05-16 |
1477547396 | Jennifer J Warren | Chiropractor | 7636 Allen Rd, Allen Park, MI 48101-1926 | 2005-09-07 |
Street Address |
315 MAGAZINE ST STE C |
City | TUPELO |
State | MS |
Zip Code | 38804-4802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
Find all providers in zip 38804 |
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 |
---|---|---|---|---|
1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
1710532668 | Sondra Bennett Pmhnp-bc LLC | Nurse Practitioner | 144 S Thomas St Ste 207, Tupelo, MS 38801-5337 | 2019-08-07 |
1891353413 | Jennifer Warren Pmhnp-bc LLC | Nurse Practitioner | 315 Magazine St Ste D, Tupelo, MS 38804-3974 | 2019-05-29 |
1548783509 | Ashley Cooper | Nurse Practitioner | 499 Gloster Creek Vlg Ste A-3, Tupelo, MS 38801-4600 | 2017-07-21 |
1750416905 | Lisa Theresa Lippincott | Nurse Practitioner | 210 E Main St Ste D, Tupelo, MS 38804-4017 | 2007-02-21 |
1275182818 | Andrea Paige Pounds | Nurse Practitioner | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2019-09-06 |
1710532239 | Sabrina Hurd Hall | Nurse Practitioner | 1937 Briar Ridge Rd, Tupelo, MS 38804-5963 | 2019-08-02 |
1023572294 | Colby Ponder | Nurse Practitioner | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2019-01-22 |
1730656422 | Emily L Mccormac | Nurse Practitioner | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2018-10-31 |
1790138873 | Katherine E Ederer | Nurse Practitioner | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2016-07-13 |
Find all providers in TUPELO |
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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.