MS. CHERRIE LASHAE WAGNON (NPI# 1588613616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588613616 |
| Entity Type | Individual |
| Full Name | MS. CHERRIE LASHAE WAGNON |
| Credential | C.R.N.P. |
| Practice Address |
801 20th Ave E Jasper AL 35501-4070 |
| Practice Telephone | 2053840311 |
| Mailing Telephone | 2053840311 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2010-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-080080 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 891004650 | 05 |
| Street Address |
801 20TH AVE E |
| City | JASPER |
| State | AL |
| Zip Code | 35501-4070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528017738 | Stacy L Horsley | Family Medicine | 801 20th Ave E, Jasper, AL 35501-4070 | 2006-05-08 |
| 1528002391 | Family Health Associates, P.C. | Family Medicine | 801 20th Ave E, Jasper, AL 35501-4070 | 2006-06-15 |
| 1265481816 | Leslie Machel Dunn | Nurse Practitioner | 801 20th Ave E, Jasper, AL 35501-4070 | 2006-05-10 |
| 1952350506 | Woodrow W Herring IIi | Family Medicine | 801 20th Ave E, Jasper, AL 35501-4070 | 2006-05-10 |
| 1720037450 | Judson Wayne Smith | Family Medicine | 801 20th Ave E, Jasper, AL 35501-4070 | 2006-05-09 |
| 1114976859 | Evelyn Ann Leonard | Family Medicine | 801 20th Ave E, Jasper, AL 35501-4070 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194209650 | Ansley Parnell Allen | Dentist | 1208 Highway 78 East, Jasper, AL 35501 | 2018-09-20 |
| 1437659265 | A Calling Consulting and Wellness Center, LLC | Social Worker | 300 18th St West, Suite 101, Jasper, AL 35501 | 2018-02-19 |
| 1902315591 | Lucretia Fountain | Pharmacist | 1640 Hwy 78 East, Jasper, AL 35501 | 2017-09-26 |
| 1356708465 | Veterans Admistration | Clinic/Center | 1454 Jones Dairy Road, Jasper, AL 35501 | 2016-01-20 |
| 1104233717 | Garrison Stephen Cowen | Obstetrics & Gynecology | 701 East 19th Street, Jasper, AL 35501 | 2014-07-15 |
| 1700291903 | Jennifer Leah Neighbors Beasley | Internal Medicine | 1450 Jones Dairy Rd Ste 500, Jasper, AL 35501 | 2014-06-25 |
| 1841568391 | Gloria Jean Farris | Nurse Practitioner | 300 Cherokee Circle, Jasper, AL 35501 | 2011-12-12 |
| 1013205970 | Daniel Jason Morris | Orthopaedic Surgery | 1446 Jones Dairy Rd Ste 100, Jasper, AL 35501 | 2011-07-13 |
| 1417150954 | East Point Pharmacy, LLC | Pharmacy | 1442 Jones Dairy Rd., Jasper, AL 35501 | 2007-06-11 |
| 1275754210 | Karen Denise Veitch | Pharmacist | 2405 Us Hwy 78 East, Jasper, AL 35501 | 2007-05-01 |
| Find all providers in zip 35501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659922789 | Annette Renae Klem | Nurse Practitioner | 670 Rumbach Ave, Jasper, IN 47546-3513 | 2019-09-20 |
| 1811558901 | Elaina Miranda Averett | Nurse Practitioner | 580 Hampton Farms Trl, Jasper, GA 30143-5571 | 2019-06-28 |
| 1003473877 | Tiffany Tolliver | Nurse Practitioner | 508 Deer Ridge Run, Jasper, AL 35503-5573 | 2019-05-28 |
| 1578063590 | Nicole Noreen Tucker | Nurse Practitioner | 134 Mountainside Village Pkwy Bldg 500, Jasper, GA 30143-8694 | 2018-02-16 |
| 1467989533 | Kathleen Ann Munning | Nurse Practitioner | 1950 Saint Charles St Ste 4, Jasper, IN 47546-9172 | 2017-05-18 |
| 1336687383 | Nina Martindale | Nurse Practitioner | 2400 County Road 138, Jasper, TX 75951 | 2017-02-09 |
| 1689111460 | Chris Hue Gilchriest Jr. | Nurse Practitioner | 541 Dogwood St, Jasper, TX 75951-5658 | 2017-01-31 |
| 1962949222 | Ace Beam | Nurse Practitioner | 3400 Highway 78 E Ste 215, Jasper, AL 35501-8950 | 2017-01-25 |
| 1376928770 | Elizabeth Jane Mckinley | Nurse Practitioner | 220 J L White Dr Ste 110, Jasper, GA 30143-4894 | 2015-07-27 |
| 1225415581 | Ashley Gilley | Nurse Practitioner | 744 Noah Dr Ste 108, Jasper, GA 30143-8704 | 2015-05-06 |
| Find all providers in JASPER | ||||
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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.