MRS. JACQUELINE FARRIS (NPI# 1508042276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508042276 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE FARRIS |
| Credential | RN |
| Practice Address |
4299 Elvis Presley Blvd Memphis TN 38116-6435 |
| Practice Telephone | 9013987518 |
| Practice Fax Number | 9013983128 |
| Mailing Telephone | 9013987518 |
| Mailing Fax Number | 9013983128 |
| Enumeration Date | 2008-01-12 |
| Last Update Date | 2008-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
RN0000089408 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801377155 | Jacqueline Farris | Counselor | 57 Dora Ln, Greenup, KY 41144-1187 | 2018-08-24 |
| 1639609050 | Jacqueline L Farris | Counselor | 17500 Burke St, Omaha, NE 68118-2244 | 2017-06-18 |
| Street Address |
4299 ELVIS PRESLEY BLVD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116-6435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710997051 | Joseph Johnson Jr. | Dentist | 4299 Elvis Presley Blvd, Memphis, TN 38116-6435 | 2006-08-09 |
| 1952891467 | Julia L Green | Registered Nurse | 4299 Elvis Presley Blvd, Memphis, TN 38116-6435 | 2018-05-10 |
| 1376684407 | Carlos Spragling | Radiologic Technologist | 4299 Elvis Presley Blvd, Memphis, TN 38116-6435 | 2007-02-10 |
| 1548301682 | Whitehaven Pediatrics Inc. | Legal Medicine | 4299 Elvis Presley Blvd, Memphis, TN 38116-6435 | 2007-02-10 |
| 1164502977 | Asma Khan | Pediatrics | 4299 Elvis Presley Blvd, Memphis, TN 38116-6435 | 2006-10-16 |
| 1487742755 | Prabha Sudheendran | Pediatrics | 4299 Elvis Presley Blvd, Memphis, TN 38116 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902203284 | Joshua Cole | Clinical Nurse Specialist | 5308 Greenbriar Rd, Chattanooga, TN 37412-3002 | 2014-12-02 |
| 1366756082 | University of Tennessee | Clinical Nurse Specialist | 220 Langland Street, Knoxville, TN 37915 | 2010-08-05 |
| 1356618987 | Ashley Kirkpatrick Williams | Clinical Nurse Specialist | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2011-11-28 |
| 1952684268 | Alicia M. Alexander | Clinical Nurse Specialist | 220 Langland St, Knoxville, TN 37915-1415 | 2011-09-22 |
| 1578881132 | Loudon County Pediatrics, PC | Clinical Nurse Specialist | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2010-05-06 |
| 1609020122 | Amber Bennett Wetherington | Clinical Nurse Specialist | 2100 W Clinch Ave, Ste 120, Knoxville, TN 37916 | 2008-11-11 |
| 1457503021 | Virginia Stafford Hile | Clinical Nurse Specialist | 125 Huxley Rd, Knoxville, TN 37922-3197 | 2008-10-15 |
| 1437305653 | Anila Bhimani | Clinical Nurse Specialist | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2008-08-08 |
| 1396910618 | Dale Gouldie | Clinical Nurse Specialist | 125 Huxley Rd, Knoxville, TN 37922-3197 | 2008-04-28 |
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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.