AMBER D FERN (NPI# 1497033153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497033153 |
Entity Type | Individual |
Full Name | AMBER D FERN |
Credential | PA-C |
Practice Address |
176c W University Pkwy # C Jackson TN 38305-1616 |
Mailing Address |
176 W University Pkwy Ste C Jackson TN 38305-1618 |
Practice Telephone | 7316606915 |
Practice Fax Number | 7316684557 |
Mailing Telephone | 7316606915 |
Mailing Fax Number | 2298887771 |
Enumeration Date | 2011-07-29 |
Last Update Date | 2019-11-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1984 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
400 Us Highway 45 W, Humboldt, TN 383438503 | 7317847773 |
Street Address |
176C W UNIVERSITY PKWY # C |
City | JACKSON |
State | TN |
Zip Code | 38305-1616 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255382388 | Johnna Lea Beuerlein | Nurse Practitioner | 176c W University Pkwy # C, Jackson, TN 38305-1616 | 2006-05-13 |
1659921948 | Sequoyha Raechelle Outlaw | Physical Medicine & Rehabilitation | 176c W University Pkwy # C, Jackson, TN 38305-1616 | 2019-09-18 |
1124536255 | Rebecca Morris Carrington | Physical Therapist | 176c W University Pkwy # C, Jackson, TN 38305-1616 | 2018-01-10 |
1548707409 | Morgan Simpson | Nurse Practitioner | 176c W University Pkwy # C, Jackson, TN 38305-1616 | 2017-01-30 |
1952852980 | Bambi Lafont | Nurse Practitioner | 176c W University Pkwy # C, Jackson, TN 38305-1616 | 2016-10-14 |
1912274614 | Naomi D Watson | Physician Assistant | 176c W University Pkwy # C, Jackson, TN 38305-1616 | 2011-11-23 |
1538297460 | Jayme Leke Walker | Nurse Practitioner | 176c W University Pkwy # C, Jackson, TN 38305-1616 | 2007-03-01 |
1659459022 | Rhonda Singleton Gaston | Speech-Language Pathologist | 176c W University Pkwy # C, Jackson, TN 38305 | 2006-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
Find all providers in zip 38305 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629206784 | Sarah Beth Poplawski | Physician Assistant | 205 N. East Avenue, Emergency Department, Jackson, MI 49201 | 2009-06-29 |
1225167356 | Marianne Elizabeth Lapointe | Physician Assistant | 815 Court St Ste 7, Jackson, CA 95642-2154 | 2007-03-05 |
1386780237 | Charles F Harris | Physician Assistant | 982 W. Broadway, Jackson, WY 83002 | 2007-01-29 |
1427109149 | Coreen Dian Garcia-sweets | Physician Assistant | 3235 E Michigan Ave Ste 100, Jackson, MI 49202-3971 | 2007-01-16 |
1861552556 | Marc A Fierro | Physician Assistant | 11333 Prospect Dr Ste 401, Jackson, CA 95642-9311 | 2006-12-11 |
1427146539 | James E Abernathy II | Physician Assistant | 294 Sumar Dr, Jackson, TN 38301 | 2006-10-11 |
1184633935 | Kelly Elizabeth Graver Pate | Physician Assistant | 9279 Locust St., Jackson, CA 95669 | 2006-08-07 |
1548241359 | Byron Michael Breeding | Physician Assistant | 144 Edenwood Dr, Jackson, TN 38301-3827 | 2005-11-09 |
1033735709 | Anna Marie Plumley | Physician Assistant | 1325 N West Ave, Jackson, MI 49202-2050 | 2020-06-18 |
1093347072 | Jessica Emil Ansara | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2020-02-07 |
Find all providers in JACKSON |
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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.