MRS. JAWANEKA P ELLERSON (NPI# 1396276127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396276127 |
Entity Type | Individual |
Full Name | MRS. JAWANEKA P ELLERSON |
Credential | AG NPC |
Practice Address |
2900 Mcgehee Rd Montgomery AL 36111-2151 |
Mailing Address |
Po Box 11087 Montgomery AL 36111-0087 |
Practice Telephone | 3342803349 |
Practice Fax Number | 3342812308 |
Mailing Telephone | 3344811599 |
Mailing Fax Number | 3342812308 |
Enumeration Date | 2017-03-23 |
Last Update Date | 2017-03-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AG0117043 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2900 MCGEHEE RD |
City | MONTGOMERY |
State | AL |
Zip Code | 36111-2151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689651408 | Montgomery Aids Outreach, Inc. | Clinic/Center | 2900 Mcgehee Rd, Montgomery, AL 36111 | 2005-12-22 |
1194357707 | Mary Frances Felder | Dietitian, Registered | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2020-02-11 |
1578027587 | Jennifer G Thompson | Social Worker | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2019-01-23 |
1831681071 | Kirstie A Tyson | Counselor | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2018-06-04 |
1679004436 | Montgomery Aids Outreach Inc | Pharmacy | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2017-03-23 |
1659821874 | Bobby Golden Jr. | Licensed Practical Nurse | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2016-10-12 |
1417407669 | Alexa Penn | Registered Nurse | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2016-10-12 |
1164972238 | Diane Weil | Registered Nurse | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2016-10-12 |
1023568177 | Cassandra Blakely | Licensed Practical Nurse | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2016-10-12 |
1306396478 | Kelly Johnston | Registered Nurse | 2900 Mcgehee Rd, Montgomery, AL 36111-2151 | 2016-10-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578922191 | Travis A Thompson | Dentist | 3439 B Mcgehee Road, Suite 22, Montgomery, AL 36111 | 2016-02-11 |
1932579042 | Arthur Mazyck | Radiology | 2159 Woodley Road, Montgomery, AL 36111 | 2015-10-01 |
1063823805 | Andrea Olofson | Pathology | 2055 Normandie Dr Ste 214, Montgomery, AL 36111 | 2014-05-14 |
1952609505 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Psychiatry & Neurology | 4225 Narrow Lane Road, Montgomery, AL 36111 | 2011-03-07 |
1801082839 | River Region Hospital | Psychiatric Hospital | 4385 Narrow Lane Road, Montgomery, AL 36111 | 2007-09-24 |
1942330568 | Jefferson Underwood, IIi, Md, PC | Internal Medicine | 2173 Normandie Dr, Montgomery, AL 36111 | 2007-03-06 |
1659456606 | Jefferson Underwood | Internal Medicine | 2171 Normandie Dr, Montgomery, AL 36111 | 2006-10-26 |
1548340953 | William John Knox IIi | Otolaryngology | 2163 Normandie Drive, Montgomery, AL 36111 | 2006-10-17 |
1669573465 | Bennie R Hamner | Surgery | 2027 Normandie Drive, Montgomery, AL 36111 | 2006-09-26 |
1669963617 | Dhwani Chotalia | Nurse Practitioner | 2908 Mcgehee Rd, Montgomery, AL 36111 | 2018-05-25 |
Find all providers in zip 36111 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730586405 | Mary Conn | Nurse Practitioner | 10547 Montgomery Rd Ste 400, Montgomery, OH 45242-4418 | 2014-11-25 |
1760954523 | Kristian Michelle Williams | Nurse Practitioner | 2105 E South Blvd, Montgomery, AL 36116-2409 | 2018-12-18 |
1194275321 | Ashley Powell | Nurse Practitioner | 2065 E South Blvd, Suite 204, Montgomery, AL 36116-2458 | 2016-10-12 |
1972948032 | Kristen T Osborne | Nurse Practitioner | 4145 Carmichael Rd, Montgomery, AL 36106-2803 | 2013-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790394195 | Farzana Gilani | Nurse Practitioner | 4577 Mcgill Ter, Hoover, AL 35226-6382 | 2020-07-31 |
1235762980 | Zachary David Quintana | Nurse Practitioner | 101 Sivley Rd Sw Ste 300, Huntsville, AL 35801-4421 | 2020-02-20 |
1780239160 | Amy Black | Nurse Practitioner | 10420 Reva Rd N, Chunchula, AL 36521-3330 | 2019-08-02 |
1437613031 | Lynsey Smith | Nurse Practitioner | 121 N 20th St Ste 2, Opelika, AL 36801-5409 | 2019-01-28 |
1780169037 | Kathleen Kimbrough Shields | Nurse Practitioner | 1201 11th Ave S Ste 305, Birmingham, AL 35205-3422 | 2018-10-02 |
1235635780 | Ruoting Wei | Nurse Practitioner | Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 | 2018-04-03 |
1326555780 | Brittany Michelle Bowen | Nurse Practitioner | 52 Medical Park Dr E Ste 307, Birmingham, AL 35235-3432 | 2018-01-08 |
1598280984 | Kimberly Sue Johnson | Nurse Practitioner | 1201 7th St Se Ste 120, Decatur, AL 35601-3337 | 2017-08-07 |
1427571389 | Sonya K Hicks | Nurse Practitioner | 1705 Main Ave Sw Ste B, Cullman, AL 35055-7207 | 2017-07-24 |
1326580515 | Kams Transportation and Mobile Health Services | Nurse Practitioner | 102 Pearle Cove Dr, Huntsville, AL 35806-4243 | 2016-11-06 |
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City | MONTGOMERY |
Zip Code | 36111 |
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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.