JESSICA LYNN ANDERSON (NPI# 1508406802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508406802 |
| Entity Type | Individual |
| Full Name | JESSICA LYNN ANDERSON |
| Credential | FNP-C |
| Practice Address |
117 S 11th Ave Laurel MS 39440-4312 |
| Practice Telephone | 6014253033 |
| Mailing Telephone | 6014253033 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
903635 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 713 Lomax Ave, Waynesboro, MS 393672556 | 6016712400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245837 | Jessica N Anderson | Adult Companion | 1640 Arville St, Las Vegas, NV 89102-3840 | 2020-08-16 |
| 1699239236 | Jessica Anderson | Occupational Therapist | 20 County Barn Rd, Booneville, KY 41314-6500 | 2019-01-28 |
| 1275034423 | Jessica Dharma Anderson | Social Worker | 11 Woods Pond Drive, Westford, MA 01886 | 2018-02-23 |
| 1396275376 | Jessica Anna Anderson | Licensed Vocational Nurse | 539 Mitchell Ave, Turlock, CA 95380-4043 | 2017-06-13 |
| 1841739935 | Jessica Anderson | Speech-Language Pathologist | 6624 Beck Dr Ne, Albuquerque, NM 87109-3702 | 2017-02-22 |
| 1144769878 | Jessica Anderson | Nurse's Aide | 2803 Wooded Ln, Mchenry, IL 60051-7889 | 2017-02-14 |
| 1508302498 | Jessica Leah Anderson | Physical Therapy Assistant | 3620 Applewood Rd, North Chesterfield, VA 23234-4821 | 2017-01-16 |
| 1922557271 | Jessica Byers Anderson | Massage Therapist | 104 W Hilliard Ln, Eugene, OR 97404-3012 | 2016-09-28 |
| 1841668175 | Jessica Elise Anderson | Occupational Therapist | 731 S 16th St Apt 2f, Philadelphia, PA 19146-2126 | 2015-09-03 |
| 1073892097 | Jessica Lauren Anderson | Speech-Language Pathologist | 413 W Bloomfield Ave, Royal Oak, MI 48073-2567 | 2011-08-08 |
| Street Address |
117 S 11TH AVE |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831195536 | Gayla B. Glenn | Dietitian, Registered | 117 S 11th Ave, Laurel, MS 39440-4312 | 2005-06-27 |
| 1932739034 | Family Health Center, Inc. | Bus | 117 S 11th Ave, Laurel, MS 39440-4312 | 2020-01-17 |
| 1093373110 | Sarah Nicole Thames | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2019-06-04 |
| 1386197697 | Scott Fowler | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2016-08-03 |
| 1477919603 | Family Health Center, Inc. | Clinic/Center | 117 S 11th Ave, Laurel, MS 39440-4312 | 2016-01-04 |
| 1649666744 | Sheree Lamara Conley-donaldson | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2015-04-15 |
| 1548656614 | Lashundra Shanett Speights | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2015-04-15 |
| 1245648104 | Casey Herrington | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2014-07-23 |
| 1497187512 | Felicia Keys | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2013-07-31 |
| 1780927442 | Ladonna Michelle Phillips | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2013-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291870 | Fatoumata Ba | Nurse Practitioner | 9900 Washington Blvd N Ste L, Laurel, MD 20723-1972 | 2020-10-03 |
| 1396350484 | Serene Care Holdings | Nurse Practitioner | 14118 Bowsprit Ln Apt 806, Laurel, MD 20707-6318 | 2020-09-15 |
| 1649880626 | Oak Healthcare Services LLC | Nurse Practitioner | 11601 Duckettown Road, Laurel, MD 20708 | 2020-08-05 |
| 1003425844 | We Walk Together | Nurse Practitioner | 8406 Shadeland Rd, Laurel, MD 20724-1922 | 2020-07-28 |
| 1952919870 | Lauren Abbie Collins | Nurse Practitioner | 32504 Mount Pleasant Rd, Laurel, DE 19956-4246 | 2020-07-16 |
| 1215552302 | Ulrica Olayinka Mbayo | Nurse Practitioner | 3201 Orient Fishtail Rd, Laurel, MD 20724-2931 | 2020-06-15 |
| 1962027599 | Olive Mouafo | Nurse Practitioner | 10100 Snowdrift Downs, Laurel, MD 20723-5873 | 2020-06-09 |
| 1295355832 | Sonia Louis-lapierre | Nurse Practitioner | 9397 3rd St N, Laurel, MD 20723-1922 | 2020-04-23 |
| 1699311571 | Ijeoma D. Anyaibe | Nurse Practitioner | 8101 Sandy Spring Rd Ste 110, Laurel, MD 20707-3596 | 2019-11-26 |
| 1699311712 | Adebisi Allison | Nurse Practitioner | 9319 Player Dr, Laurel, MD 20708-3229 | 2019-11-24 |
| Find all providers in LAUREL | ||||
Please comment or provide details below to improve the information on JESSICA LYNN ANDERSON.
| 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.