MRS. JESSICA RENE WALLIS (NPI# 1568590396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568590396 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA RENE WALLIS |
| Practice Address |
805 N Charlotte St Dickson TN 37055-1008 |
| Mailing Address |
65 Ridge Rd Apt. B-15 Waverly TN 37185-2000 |
| Practice Telephone | 6154416074 |
| Mailing Telephone | 9312997014 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372500000X | Chore Provider | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962879296 | Jessica Anne Wallis | Nurse Practitioner | 6041 Basswood Dr, Fitchburg, WI 53719-5102 | 2015-08-21 |
| Street Address |
805 N CHARLOTTE ST |
| City | DICKSON |
| State | TN |
| Zip Code | 37055-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902934789 | Ashley Lyle Claiborne | Counselor | 805 N Charlotte St, Dickson, TN 37055-1008 | 2007-03-01 |
| 1194855668 | Lisa Rose Plunkett | Counselor | 805 N Charlotte St, Dickson, TN 37055-1008 | 2007-03-06 |
| 1487782215 | Anita Dawn Mccord | Case Manager/Care Coordinator | 805 N Charlotte St, Dickson, TN 37055-1008 | 2007-03-01 |
| 1295863025 | Marie Felicia Wright V | Chore Provider | 805 N Charlotte St, Dickson, TN 37055-1008 | 2007-03-01 |
| 1194853135 | Janet M Barrett | Social Worker | 805 N Charlotte St, Dickson, TN 37055-1008 | 2007-03-01 |
| 1922136985 | Wynde Jo Swanger | Counselor | 805 N Charlotte St, Dickson, TN 37055-1008 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406186 | Raven Julia Jackson | Dentist | 445 Tn-46 S, Dickson, TN 37055 | 2020-08-03 |
| 1336767839 | Logan Newman | Student in an Organized Health Care Education/Training Program | 102 Us70 East, Suite 2, Dickson, TN 37055 | 2020-07-10 |
| 1720575012 | Vb Tennessee I Pllc | Dentist | 2027 Thornton Dr, Dickson, TX 37055 | 2018-04-23 |
| 1376075358 | Sharon Elizabeth Sharber | Nurse Practitioner | 111 Highway 70 E Ste E, Dickson, TN 37055 | 2017-03-29 |
| 1992255921 | Karen Alonzo | Occupational Therapy Assistant | 312 N Charlotte St, Dickson, TN 37055 | 2016-10-13 |
| 1356727408 | Aurora Pharmacy Inc | Pharmacy | 318 East College Street, Suite 102, Dickson, TN 37055 | 2015-07-30 |
| 1295121820 | Jeffrey Nicholas Williams | Pharmacy Technician | 120 Brazzell Rd, Dickson, TN 37055 | 2015-04-10 |
| 1760894398 | Joshua A. Vaughn | Physical Therapist | 766 Highway 46 South, Dickson, TN 37055 | 2014-06-02 |
| 1902217292 | Keith Payton | Dentist | 217 Highway 46 Ste D, Dickson, TN 37055 | 2014-05-08 |
| 1073953840 | John Harrison | Dentist | 134 Us-70, Dickson Pediatric Dentistry, Dickson, TN 37055 | 2013-06-26 |
| Find all providers in zip 37055 | ||||
| Taxonomy Code | 372500000X |
| Grouping | Nursing Service Related Providers |
| Classification | Chore Provider |
| An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295863025 | Marie Felicia Wright V | Chore Provider | 805 N Charlotte St, Dickson, TN 37055-1008 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851856025 | Jacqueline Hudson Myles | Chore Provider | 3940 Hedgerow Dr, Memphis, TN 38109-4424 | 2019-02-01 |
| 1093287492 | Melissa Sherie Hauser | Chore Provider | 1292 Edwina Bridgeport Rd, Newport, TN 37821-5700 | 2018-12-23 |
| 1891284907 | Anchio Latwan Wolfe | Chore Provider | 933 Maple St, Kingsport, TN 37660-5219 | 2018-05-03 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1831608959 | Antonio White | Chore Provider | 1408 N Highland Ave Ste 306, Jackson, TN 38301-3450 | 2017-09-20 |
| 1801276795 | Cheryl Denise Ross | Chore Provider | 5592 Fox Meadows Cv, Memphis, TN 38115-2320 | 2015-06-04 |
| 1336531524 | Shamaika S Legges | Chore Provider | 1902 Hickory Hollow Ter, Antioch, TN 37013-2643 | 2015-02-24 |
| 1770991978 | William Michael Brewer | Chore Provider | 10805 Dundee Rd, Knoxville, TN 37934-1814 | 2014-07-31 |
| 1780929349 | Michael Dalen Jaureque | Chore Provider | 159 Hilltop Cir, Brighton, TN 38011-6628 | 2012-12-06 |
| 1104175025 | Stephanie Ann Sharp | Chore Provider | 701 Belmont Farms Road, Dayton, TN 37321 | 2012-09-06 |
| Find all providers with the same taxonomy | ||||
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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.