JASON D POWELL


Address: 5366 Mendenhall Mall, Memphis, TN 38115-4505
Phone: 9012716100

JASON D POWELL (NPI# 1427349224) 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) 1427349224
Entity Type Individual
Full Name JASON D POWELL
Credential NP
Practice Address 5366 Mendenhall Mall
Memphis
TN 38115-4505
Mailing Address 2595 Central Ave
Memphis
TN 38104
Practice Telephone 9012716100
Practice Fax Number 9012716199
Mailing Telephone 9012608551
Mailing Fax Number 9012608590
Enumeration Date 2011-04-27
Last Update Date 2012-03-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 180760 TN Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
15618 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 1525673 05

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Office Location

Street Address 5366 MENDENHALL MALL
City MEMPHIS
State TN
Zip Code 38115-4505

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770573131 Kahala C Cannon Dentist 5366 Mendenhall Mall, Memphis, TN 38115-4505 2005-10-26
1497208177 Gina Sabbatini Physician Assistant 5366 Mendenhall Mall, Memphis, TN 38115-4505 2016-07-28
1295288983 Sarah Shuler Physician Assistant 5366 Mendenhall Mall, Memphis, TN 38115-4505 2016-07-28
1811356645 Annalyse Faulk Physician Assistant 5366 Mendenhall Mall, Memphis, TN 38115-4505 2016-02-22
1003236217 Christina Brown Tran Family Medicine 5366 Mendenhall Mall, Memphis, TN 38115-4505 2014-04-27
1114347366 Tessa Denzin Physician Assistant 5366 Mendenhall Mall, Memphis, TN 38115-4505 2014-04-25
1417398553 Shawna Clark Dentist 5366 Mendenhall Mall, Memphis, TN 38115-4505 2013-07-16
1154764397 Ana Patricia Carasusan Pediatrics 5366 Mendenhall Mall, Memphis, TN 38115-4505 2013-04-08
1326307596 Katherine G Barger Pediatrics 5366 Mendenhall Mall, Memphis, TN 38115-4505 2012-05-09
1992062517 Maria Del Carmen Fernandez Family Medicine 5366 Mendenhall Mall, Memphis, TN 38115-4505 2012-04-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891315370 Janell Lennice C Jackson Pharmacist 3670 Riverdale Road, Memphis, TN 38115 2020-04-24
1982246393 A.y Nunley Technician 5614 Crepe Myrtle Drive, Memphis, TN 38115 2019-10-17
1114580776 Dee's Around The Clock Home Health Aide 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 2019-04-19
1679047476 Demetria S Summers Home Health 6099 Appletree, Suite35, Memphis, TN 38115 2019-01-15
1134698590 Patriot Healthcare of Tennessee, LLC Family Medicine 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 2018-11-15
1891293106 Decrese A Beverly Counselor 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 2018-02-01
1720597289 Frank A Taylor Jr. Nutritionist 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 2017-09-27
1255717260 Mary L Avery Social Worker 5563 Knight Arnold Rd., Memphis, TN 38115 2015-08-03
1104207166 Good Shepherd Medication Management Pharmacy 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 2015-06-16
1265811665 Good Shepherd Health Pharmacy 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 2015-05-19
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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...

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1972119527 Oneka E Poindexter Nurse Practitioner 86 N Rembert St, Memphis, TN 38104-2766 2020-09-18
1295346260 Jimarie Nelson Nurse Practitioner 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 2020-08-13
1346869187 Tollaria Williams Nurse Practitioner 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 2020-04-12
1497388912 Michelle Denise Jones Nurse Practitioner 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 2020-02-13
1336781657 J Wilson Health LLC Nurse Practitioner 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 2019-10-09
1265081574 Natalie Staten Nurse Practitioner 7651 Shelby Forest Cv, Memphis, TN 38125-2822 2019-09-09
1881247740 Mekeilah Nevaun Johnson Nurse Practitioner 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 2019-07-19
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Competitor

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City MEMPHIS
Zip Code 38115

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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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