MS. ZENOTHA LARRY


Address: 3502 W Northside Dr, Jackson, MS 39213-4454
Phone: 6013625321

MS. ZENOTHA LARRY (NPI# 1659615557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659615557
Entity Type Individual
Full Name MS. ZENOTHA LARRY
Credential NP
Practice Address 3502 W Northside Dr
Jackson
MS 39213-4454
Practice Telephone 6013625321
Mailing Telephone 6013625321
Enumeration Date 2012-11-15
Last Update Date 2016-05-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
R877587 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS MISSISSIPPI R877587 01

Office Location

Street Address 3502 W NORTHSIDE DR
City JACKSON
State MS
Zip Code 39213-4454

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952386559 Laboratory Corporation of America Holdings Clinical Medical Laboratory 3502 W Northside Dr, Jackson, MS 39213-4454 2005-12-07
1689217812 Ebony Martin Case Manager/Care Coordinator 3502 W Northside Dr, Jackson, MS 39213-4454 2019-10-21
1275189938 April Terrain Perry Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213 2019-08-16
1013473891 Ericia Latrice Cannon Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2019-02-16
1578037172 Jennifer Henley Internal Medicine 3502 W Northside Dr, Jackson, MS 39213-4454 2019-01-16
1003388968 Tiffani Ricchele Mcknight Social Worker 3502 W Northside Dr, Jackson, MS 39213-4454 2018-12-17
1356810360 Thrishanna Clark Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2018-11-19
1376034660 Sirna Musa Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2018-05-23
1033649058 Central Mississippi Civic Improvement Association, Inc. Clinic/Center 3502 W Northside Dr, Jackson, MS 39213-4454 2017-06-13
1013451780 Katrice Pacley Andrews Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2016-12-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679117980 Cynthia Bailey Technician 916 Carnation Street, Jackson, MS 39213 2019-10-30
1871136374 Shirley Collins Williams Technician 3132 Sage St, Jackson, MS 39213 2019-10-28
1275057069 Nikita Patel Pharmacist 830 West Woodrow Wilson Avenue, Jackson, MS 39213 2017-08-02
1346782893 Mississippi Smiles Dentistry LLC Dentist 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 2016-11-15
1730637521 Ms Eyecare Associates of Jackson, Pllc. Optometrist 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 2016-09-21
1518410778 Assurance Home Health Services, LLC Health Maintenance Organization 1771 Hamilton Blvd., Jackson, MS 39213 2016-07-25
1831576180 Dorothy Jeffries Anderson Counselor 350 Woodrow Wilson Ave, Jackson, MS 39213 2015-05-06
1740697275 Sincere Home Care LLC. Chore Provider 5911 Holmes Ct, Jackson, MS 39213 2014-07-16
1629401088 Deborah Diane Wright Assisted Living Facility 5911 Holmes Court, Jackson, MS 39213 2013-08-20
1245663251 Methodist Home Road Living Center Licensed Practical Nurse 4560 Methodist Home Road, Jackson, MS 39213 2013-08-13
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225675952 Victoria Delores Brown Nurse Practitioner 5155 Keele St Apt 22d, Jackson, MS 39206-4331 2019-12-02
1609255520 Neta J Roby Nurse Practitioner Hwy 36, Georgia Diagnostic Classification Prison, Jackson, GA 30233 2015-05-26
1346652377 Rachel Nichole Ford Nurse Practitioner 5963 I 55 N, Jackson, MS 39213-9722 2014-05-26
1760601967 Kimberly Lynne Schlagel Nurse Practitioner 1200 N State St Ste 430, Jackson, MS 39202-2027 2007-04-25
1134117963 Gloria Lee Kent Nurse Practitioner 100 Mission Boulevard, Suite 2800, Jackson, CA 95642-2147 2005-10-06
1265966634 Tayler M Johnston Nurse Practitioner 72 Physicians Dr, Jackson, TN 38305 2017-04-12
1891236725 Christina Purviance Nurse Practitioner 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 2017-03-11
1407273071 Lisa Rudd Nurse Practitioner 3305 Spring Arbor Rd, Jackson, MI 49203-3794 2014-03-21
1447689799 Jessica L Rider Nurse Practitioner 244 Coatsland Dr, Jackson, TN 38301-3948 2013-11-07
1154669786 Lakendria Zollicoffer Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2013-01-16
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39213

Improve Information

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Dataset Information

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.

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