JESSICA WOOTEN (NPI# 1649755497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649755497 |
| Entity Type | Individual |
| Full Name | JESSICA WOOTEN |
| Credential | FNP |
| Practice Address |
292 Jerry Lofton Rd Pineville LA 71360 |
| Practice Telephone | 3184191674 |
| Mailing Telephone | 3184191674 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP10160 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053854364 | Jessica Wooten | Nurse Anesthetist, Certified Registered | 1007 Goodyear Ave, Gadsden, AL 35903-1195 | 2016-11-18 |
| 1245510494 | Jessica Elaine Wooten | Nurse Practitioner | 606 Washington St, Ravenswood, WV 26164-1730 | 2011-08-19 |
| 1013186378 | Jessica Lee Wooten | Physical Therapist | 93b Springview Ln, Summerville, SC 29485-8154 | 2008-02-20 |
| Street Address |
292 JERRY LOFTON RD |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073098232 | Hometown Healthcare, LLC | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1508384587 | Marion Patrick Hazelton I | Counselor | Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 | 2017-08-30 |
| 1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
| 1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
| 1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
| 1215471180 | Bayou Mental Health Services,llc | Community/Behavioral Health | 818 Maint St Ste A, Pineville, LA 71360 | 2016-12-13 |
| Find all providers in zip 71360 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728035 | Samantha Hickman | Nurse Practitioner | 448 Willie Clark Rd, Pineville, LA 71360-7136 | 2020-07-26 |
| 1942822788 | Divia L. Smith | Nurse Practitioner | 11611 Stockdale Ct, Pineville, NC 28134-6422 | 2020-05-14 |
| 1477184331 | James Lee Williams | Nurse Practitioner | 251 S Pine St # 606337, Pineville, KY 40977-1646 | 2020-01-30 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1861988537 | Gayle Elliott | Nurse Practitioner | 308 Griffith St, Pineville, LA 71360-5270 | 2018-07-06 |
| 1033600416 | Southeast Family Practice Psc | Nurse Practitioner | 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 | 2018-05-22 |
| 1679023311 | Trent Hines | Nurse Practitioner | 204 Chloe Rd, Pineville, LA 71360-5858 | 2016-10-05 |
| 1720335631 | Tammy Marie Roton | Nurse Practitioner | 1135 Expressway Dr Ste 200a, Pineville, LA 71360-6653 | 2012-08-09 |
| 1164729919 | Nyoka S. Dunbar | Nurse Practitioner | 12130 Monkstown Dr, Pineville, NC 28134-7340 | 2011-02-14 |
| 1184840902 | Andrew Paul Benoit | Nurse Practitioner | 2389 Highway 28 E, Pineville, LA 71360-5607 | 2007-04-18 |
| Find all providers in PINEVILLE | ||||
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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.