MS. MARIE CRISPIN ANDERSON


Address: 1500 East Woodrow Wilson Dr, Medical Service Routing Number 111a, Jackson, MS 39216-5199
Phone: 6013624471

MS. MARIE CRISPIN ANDERSON (NPI# 1386759819) 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) 1386759819
Entity Type Individual
Full Name MS. MARIE CRISPIN ANDERSON
Credential RN FNP
Practice Address 1500 East Woodrow Wilson Dr
Medical Service Routing Number 111a
Jackson
MS 39216-5199
Mailing Address 102 Elgin Place
Clinton
MS 39056-3946
Practice Telephone 6013624471
Practice Fax Number 6013641278
Mailing Telephone 6019250890
Enumeration Date 2006-08-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R532606 MS Physician Assistants & Advanced Practice Nursing Providers

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1578807756 Marie Alice Anderson Counselor 6202 S Lewis Ave Ste H, Tulsa, OK 74136-1064 2012-11-12

Office Location

Street Address 1500 EAST WOODROW WILSON DR
MEDICAL SERVICE ROUTING NUMBER 111A
City JACKSON
State MS
Zip Code 39216-5199

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346310265 Kimberly Rochelle Knight Social Worker 1500 East Woodrow Wilson Dr, Jackson, MS 39216 2006-11-08
1659469534 Karen H. Hughes Pathology 1500 East Woodrow Wilson Dr, Dept. of Pathology 586/113, Jackson, MS 39216 2006-10-10

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
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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
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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
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Competitor

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City JACKSON
Zip Code 39216

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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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