MRS. JESSICA LYNNE EDMONDSON (NPI# 1457752388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457752388 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA LYNNE EDMONDSON |
| Credential | REGISTERED NURSE |
| Practice Address |
17359 W Surprise Farms Loop N Surprise AZ 85388-0283 |
| Mailing Address |
11142 N 165th Dr Apt 109 Surprise AZ 85388-6644 |
| Practice Telephone | 6235238490 |
| Mailing Telephone | 2529557531 |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
270274 | NC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578852133 | Jessica Lee Gillilan Edmondson | Nurse Practitioner | 1600 7th Ave S Bldg Suite516, Birmingham, AL 35233 | 2011-04-05 |
| Street Address |
17359 W SURPRISE FARMS LOOP N |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85388-0283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295009553 | Morgan Paulson | Specialist/Technologist | 17359 W Surprise Farms Loop N, Surprise, AZ 85388-0283 | 2012-03-05 |
| 1831575000 | Jennifer Olson | Licensed Practical Nurse | 17359 W Surprise Farms Loop N, Surprise, AZ 85388-0283 | 2015-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410887 | Kids Dentists of Surprise and Orthodontics, LLP | Dentist | 15180 N. Cotton Lane, Suite 104, Surprise, AZ 85388 | 2019-07-25 |
| 1588148803 | Moahk Behavioral Home LLC | Assisted Living Facility | 16645 West Central Street, Surprise, AZ 85388 | 2018-09-21 |
| 1881118867 | Haja Sankoh | Behavior Technician | 16645 West Central St, Surprise, AZ 85388 | 2017-08-01 |
| 1235516675 | Benjamin J Hegenbarth | Family Medicine | 14981 Nth 174 Dr., Surprise, AZ 85388 | 2015-05-06 |
| 1447644521 | Urgent Care Centers of Arizona, LLC | Clinic/Center | 16840 W. Waddell Road, Suite 110, Surprise, AZ 85388 | 2015-03-26 |
| 1548512239 | We Care Medical Supply Plus | Durable Medical Equipment & Medical Supplies | 17317 W. Banff Lane, Surprise, AZ 85388 | 2012-10-05 |
| 1376871095 | Rebecca Kimberly Adamoli | Nurse's Aide | 17999 N. Surprise Farms Loop South, Surprise, AZ 85388 | 2009-11-19 |
| 1417281395 | Tracy Dunbar | Respite Care | 18245 West Port Royale Ln., Surprise, AZ 85388 | 2009-09-25 |
| 1467696617 | Eileen Georgina Soltis | Registered Nurse | 17359 W. Surprise Farms Loop N, Surprise, AZ 85388 | 2009-04-30 |
| 1538306360 | Wholistic Integrative Caring Network LLC | Nurse Practitioner | 16278 N. 164th Lane, Surprise, AZ 85388 | 2009-01-15 |
| Find all providers in zip 85388 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568902930 | Jayme Ulrich | Registered Nurse | 14821 W Pershing St, Surprise, AZ 85379-4281 | 2017-03-03 |
| 1003249327 | Chelsea B Mills | Registered Nurse | 17230 W Statler St, Surprise, AZ 85388-1265 | 2013-08-11 |
| 1881937134 | Jenell Cox | Registered Nurse | 16331 N 170th Ln, Surprise, AZ 85388-1377 | 2013-04-04 |
| 1811131279 | Karen Roberta Angelopoulos | Registered Nurse | 16121 W Christy Dr, Surprise, AZ 85379-4653 | 2009-04-28 |
| 1720208937 | Judith Carrie Craig | Registered Nurse | 15550 N Parkview Pl, Surprise, AZ 85374-7465 | 2007-04-27 |
| 1326164666 | Alicia Burks | Registered Nurse | 15272 W Gabriela Dr, Surprise, AZ 85379-6324 | 2007-03-21 |
| 1770139602 | Leah Boyles | Registered Nurse | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2019-08-15 |
| 1568971109 | Kristin Smith | Registered Nurse | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2017-09-27 |
| 1265959712 | Darby Zwiefelhofer | Registered Nurse | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2017-08-25 |
| 1922524594 | Kelly M Davidson | Registered Nurse | 15802 N Parkview Place, Surprise, AZ 85374 | 2017-08-16 |
| Find all providers in SURPRISE | ||||
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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.