MS. ORLESHA CARROLL BISHOP (NPI# 1629578273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629578273 |
| Entity Type | Individual |
| Full Name | MS. ORLESHA CARROLL BISHOP |
| Credential | FNP |
| Practice Address |
805 E River Pl Jackson MS 39202-3486 |
| Mailing Address |
110 Green Gate Xing Ridgeland MS 39157-9711 |
| Practice Telephone | 6015007660 |
| Practice Fax Number | 7692437946 |
| Mailing Telephone | 6012593016 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
902200 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
805 E RIVER PL |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-3486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750641759 | Brittany Brooks | Family Medicine | 805 E River Pl, Jackson, MS 39202-3486 | 2012-05-23 |
| 1487118964 | Eugenia Boldyreva | Nurse Practitioner | 805 E River Pl, Jackson, MS 39202-3486 | 2019-01-29 |
| 1225556319 | Open Arms Healthcare Center | Clinic/Center | 805 E River Pl, Jackson, MS 39202-3486 | 2017-09-08 |
| 1609128339 | My Brother's Keeper, Inc | Clinic/Center | 805 E River Pl, Jackson, MS 39202-3486 | 2012-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952965543 | Sheila Kivali Olira | Nurse Practitioner | 5 Windsong Ct, Jackson, NJ 08527-4081 | 2019-04-29 |
| 1366805608 | Laurie Brown | Nurse Practitioner | 6805 Squaw Creek Rd, Jackson, WY 83001-8888 | 2016-04-04 |
| 1407244171 | Bethesda Health Services, LLC | Nurse Practitioner | 29 N Star Dr Ste D, Jackson, TN 38305-6657 | 2015-01-05 |
| 1245227313 | Susan C Martin | Nurse Practitioner | 1385 S Highland Ave Ste B1, Jackson, TN 38301-7547 | 2005-10-04 |
| 1437766011 | Shannon Rae Smith | Nurse Practitioner | 1102 E Michigan Ave, Jackson, MI 49201-1802 | 2020-09-28 |
| 1275189938 | April Terrain Perry | Nurse Practitioner | 3502 W Northside Dr, Jackson, MS 39213 | 2019-08-16 |
| 1801367073 | Careline Palliative Care LLC | Nurse Practitioner | 113 W Michigan Ave Ste 102, Jackson, MI 49201-1340 | 2018-12-16 |
| 1962901587 | Hannah Foreman Ivison | Nurse Practitioner | 2969 Curran Dr N # 200, Jackson, MS 39216 | 2018-02-09 |
| 1598274623 | Allison Leigh Princiotta | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2017-09-20 |
| 1306372925 | Atlas Medical Group, LLC | Nurse Practitioner | 210 N Liberty St, Jackson, TN 38301-6222 | 2017-05-02 |
| 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.