DR. JACQUELINE ANNE WIEBE (NPI# 1689710410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689710410 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE ANNE WIEBE |
| Other Name | JACQUELINE ANNE JOHNSON |
| Credential | MD |
| Practice Address |
118 College Dr 5066 Hattiesburg MS 39406 |
| Practice Telephone | 6012665390 |
| Practice Fax Number | 6012664205 |
| Mailing Telephone | 6012665390 |
| Mailing Fax Number | 6012664205 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
15931 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780815043 | Jacqueline Babbs Wiebe | Clinical Neuropsychologist | 2301 Marsh Ln, Plano, TX 75093-8497 | 2009-08-05 |
| Street Address |
118 COLLEGE DR 5066 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194790212 | Jeffrey J Parr | Specialist/Technologist | 118 College Dr, Hattiesburg, MS 39406-7500 | 2006-02-22 |
| 1982211496 | Jessica Lero | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-29 |
| 1174130900 | Jayson Jerome Hunter | Specialist/Technologist | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-25 |
| 1578170429 | Ranesha Cook | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-24 |
| 1437766540 | Trinity Latrice Mcclain | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-23 |
| 1255947461 | Madison Grace Mitchell | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2020-09-22 |
| 1346852118 | Cristy Collins | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0001 | 2020-08-21 |
| 1609411255 | Brianna Renee Welch | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2019-11-07 |
| 1750926382 | Sabrina Harkins | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2019-11-06 |
| 1700420973 | Holly Elmore | Student in an Organized Health Care Education/Training Program | 118 College Dr, Hattiesburg, MS 39406-0002 | 2019-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427559731 | Regan Ashley Nicholson I | Specialist/Technologist | 118 College Dr., Hattiesburg, MS 39406 | 2018-02-22 |
| 1083038590 | Christopher Clapton | Specialist/Technologist | 118 College Dr # 5017, Hattiesburg, MS 39406 | 2014-02-05 |
| 1396225025 | Leslie Oglesby | Specialist/Technologist | 118 College Dr # 5122, Hattiesburg, MS 39406-0001 | 2018-08-21 |
| 1689033268 | Chandra Nicole Strange | Psychologist | 118 College Dr # 5025, Hattiesburg, MS 39406-0001 | 2016-02-11 |
| 1710359922 | Chantel Nicole Chatham | Dietitian, Registered | 118 College Dr # 5114, Hattiesburg, MS 39406-0001 | 2015-10-27 |
| 1700272432 | Southern Miss Autism Research Team (smart) Clinic | Behavioral Analyst | 118 College Dr Box 5025, University of Southern Mississippi, Hattiesburg, MS 39406-0001 | 2015-04-09 |
| 1659781474 | Stephen Craig English Jr. | Physician Assistant | 118 College Dr Box 5066, Hattiesburg, MS 39406-0001 | 2014-05-01 |
| 1215273032 | University of Southern Mississippi | Speech-Language Pathologist | 118 College Dr Box 5215, Hattiesburg, MS 39406-0001 | 2012-12-26 |
| 1225385198 | Dedra Clark-allen | Speech-Language Pathologist | The Dubard School for Language Disorders, 118 College Drive #5215, Hattiesburg, MS 39406-0001 | 2012-08-10 |
| 1376813394 | Marcelle C Jones | Speech-Language Pathologist | Kay James Dr, Hattiesburg, MS 39406-0001 | 2012-01-06 |
| Find all providers in zip 39406 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508808015 | James Stephen Sabin | Psychiatry & Neurology | 120 S 25th Ave, Hattiesburg, MS 39401-6030 | 2006-06-11 |
| 1447291208 | Elizabeth Ann S Roberson | Psychiatry & Neurology | 239 Methodist Blvd, Hattiesburg, MS 39402-1297 | 2006-06-10 |
| 1881195618 | Hattiesburg Clinic, Pa | Psychiatry & Neurology | 1 Lincoln Pkwy Ste 302, Hattiesburg, MS 39402-3261 | 2018-02-27 |
| 1053609586 | Roopsi Bassi | Psychiatry & Neurology | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3262 | 2011-07-18 |
| 1851681969 | Tasheitha Anazia | Psychiatry & Neurology | 1 Lincoln Pkwy, Suite 302, Hattiesburg, MS 39402-3262 | 2011-04-10 |
| 1407052228 | Venkatasubramanian Baskararajan | Psychiatry & Neurology | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3262 | 2007-06-27 |
| 1538377981 | Shelton Allison | Psychiatry & Neurology | 1 Lincoln Pkwy, Sutie 202, Hattiesburg, MS 39402-3262 | 2007-05-18 |
| 1013047703 | Raymond L Struck | Psychiatry & Neurology | 103 S 19th Ave, Hattiesburg, MS 39401-6171 | 2007-03-06 |
| 1760563548 | Roger Anastasio | Psychiatry & Neurology | 103 S 19th Ave, Hattiesburg, MS 39401-6171 | 2006-10-18 |
| 1982717997 | Deborah Virginia Gross | Psychiatry & Neurology | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2006-08-16 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39406 |
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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.