MRS. JENNIFER NICOLE WALLEY (NPI# 1720300734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720300734 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER NICOLE WALLEY |
| Credential | FNP-BC |
| Practice Address |
951 Matthew Dr Ste A Waynesboro MS 39367-2566 |
| Practice Telephone | 6017352401 |
| Practice Fax Number | 6017355205 |
| Mailing Telephone | 6017352401 |
| Mailing Fax Number | 6017355205 |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2013-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R864418 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05485262 | 05 |
| Street Address |
951 MATTHEW DR STE A |
| City | WAYNESBORO |
| State | MS |
| Zip Code | 39367-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285882662 | Wayne General Hospital | Family Medicine | 951 Matthew Dr Ste A, Waynesboro, MS 39367-2566 | 2008-08-28 |
| 1720619083 | Lisa Akridge | Nurse Practitioner | 951 Matthew Dr Ste A, Waynesboro, MS 39367-2566 | 2020-01-27 |
| 1730590258 | Leah Anderson | Family Medicine | 951 Matthew Dr Ste A, Waynesboro, MS 39367-2566 | 2014-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056541 | Helping Hand Home Care LLC | Respite Care | 822a Station St., Waynesboro, MS 39367 | 2017-07-19 |
| 1578914339 | Megan Cook | Specialist/Technologist | 44 D Hutto Drive, Waynesboro, MS 39367 | 2016-06-23 |
| 1932413762 | Bendan Boyd | Nurse Practitioner | 501 Azalea Dr. Suite F, Waynesboro, MS 39367 | 2010-08-04 |
| 1912181868 | Terry G Agent | Physical Therapist | 44 Old Highway 45 Loop Road, Waynesboro, MS 39367 | 2007-12-27 |
| 1265631949 | Joseph Daniel Stringer Jr. | Dentist | 803 Mississippi Drive, Waynesboro, MS 39367 | 2007-07-13 |
| 1245313014 | Wal-mart Stores East, Lp | Technician/Technologist | 1350 Azalea Drive, Waynesboro, MS 39367 | 2006-10-23 |
| 1851488514 | Charles Todd Stokley | Family Medicine | 940 Matthew Drive, Suite 2, Waynesboro, MS 39367 | 2006-10-06 |
| 1396832150 | William Daniel Young | Specialist | 940 Matthew Dr Ste 7, Waynesboro, MS 39367 | 2006-10-05 |
| 1518076546 | Family Dental Center of Waynesboro, P.a. | Dentist | 500 Court Street, Waynesboro, MS 39367 | 2006-08-30 |
| 1780624510 | Bobbie Jean Cooksey | Nurse Practitioner | 920 Matthew Drive, Suite D, Waynesboro, MS 39367 | 2006-06-08 |
| Find all providers in zip 39367 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268235 | Selena M Powe | Nurse Practitioner | 951 Matthew Dr Ste D, Waynesboro, MS 39367-2566 | 2020-02-28 |
| 1144862970 | Bobby Harris | Nurse Practitioner | 1008 Azalea Dr, Waynesboro, MS 39367-2499 | 2019-10-14 |
| 1659928083 | Kara Lynn Jacobs | Nurse Practitioner | 15 Pratts Run Ste 104, Waynesboro, VA 22980-6606 | 2019-08-21 |
| 1083181499 | Jennifer Adler | Nurse Practitioner | 12466 Jackson Ave, Waynesboro, PA 17268-4006 | 2018-10-24 |
| 1144795618 | Shametrial Litrell Glascock | Nurse Practitioner | 509 W 4th St, Waynesboro, GA 30830-1514 | 2018-10-10 |
| 1447637905 | Abigail Joyce Gingerich | Nurse Practitioner | 11609 Koons Rd, Waynesboro, PA 17268-9606 | 2015-05-04 |
| 1982031415 | Donna J Casteel | Nurse Practitioner | 107 Jv Mangubat Drive, Waynesboro, TN 38485 | 2013-09-30 |
| 1477833770 | Janna Phillips | Nurse Practitioner | 713 Lomax Ave, Waynesboro, MS 39367-2556 | 2011-08-18 |
| 1932413762 | Bendan Boyd | Nurse Practitioner | 501 Azalea Dr. Suite F, Waynesboro, MS 39367 | 2010-08-04 |
| 1225341100 | Angela B Boyd | Nurse Practitioner | 501 Azalea Dr Ste F, Waynesboro, MS 39367-2661 | 2010-07-20 |
| Find all providers in WAYNESBORO | ||||
| City | WAYNESBORO |
| Zip Code | 39367 |
Please comment or provide details below to improve the information on MRS. JENNIFER NICOLE WALLEY.
| 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.