MRS. JESSICA D LANE (NPI# 1801373964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801373964 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA D LANE |
| Credential | APN |
| Practice Address |
1500 W Elk Ave Elizabethton TN 37643-2654 |
| Mailing Address |
401 E Main St Johnson City TN 37601-4877 |
| Practice Telephone | 4235432584 |
| Practice Fax Number | 4237222060 |
| Mailing Telephone | 4234310509 |
| Mailing Fax Number | 4237222060 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APN24503 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 E Main St, Johnson City, TN 376014877 | 4239292584 | 4237222060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720622509 | Jessica Chandi Lane | Nurse Practitioner | 2601 Lakeside Pkwy Ste 180, Flower Mound, TX 75022-4291 | 2019-11-04 |
| 1710494224 | Jessica Lauren Lane | Occupational Therapist | 408 Country Run Cir, Powell, TN 37849-5428 | 2018-01-05 |
| 1366895914 | Jessica Lane | Counselor | 7 Sheridan Rd, Asheville, NC 28803-2228 | 2016-07-19 |
| 1326421306 | Jessica Lane | Physical Therapist | 300 E Hampden Ave Ste 100, Englewood, CO 80113-2647 | 2015-07-08 |
| 1235738642 | Jessica Michelle Lane | Physical Therapy Assistant | 2441 S Highway 27, Somerset, KY 42501-2935 | 2020-10-19 |
| 1710584917 | Jessica Lee Lane | Counselor | 5290 Williams Dr, Roscoe, IL 61073-9222 | 2020-10-01 |
| 1609407519 | Jessica Ann Lane | Behavior Technician | 102 S Tejon St Ste 1100, Colorado Springs, CO 80903-2253 | 2020-01-29 |
| 1619525888 | Jessica Lane | Pharmacist | 668 S Us Highway 231, Bloomfield, IN 47424-7114 | 2019-08-29 |
| 1124687785 | Jessica Dawn Lane | Nurse Practitioner | 200 Creekside Dr, Dickson, TN 37055-2176 | 2019-06-07 |
| 1558868877 | Jessica Barnes Lane | Registered Nurse | 111 Longwood Ave, Rockledge, FL 32955-2827 | 2018-04-12 |
| Street Address |
1500 W ELK AVE |
| City | ELIZABETHTON |
| State | TN |
| Zip Code | 37643-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255331740 | Kenneth M Hopland | Family Medicine | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2005-07-26 |
| 1982210928 | Bridget Mashburn | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2020-09-16 |
| 1437611480 | Whitney Deeanne Hollifield | Registered Nurse | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2019-04-01 |
| 1386119733 | Rebecca Morris | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2018-10-11 |
| 1134653231 | Julieanne Davis | Family Medicine | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2017-04-14 |
| 1952840647 | Diane Lynn Roche | Physician Assistant | 1500 W Elk Ave, Elizabethton, TN 37643 | 2017-02-15 |
| 1467903674 | Trever Weaver | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2016-10-24 |
| 1205271343 | Audrey Laney | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2013-05-02 |
| 1225365406 | Thomas Isaac Young | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2009-11-10 |
| 1346419272 | Medical Care LLC | Family Medicine | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2008-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558831115 | Blue Ridge Medical Management Corporation | Internal Medicine | 404 Bemberg Rd, Elizabethton, TN 37643 | 2018-11-27 |
| 1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
| 1437533924 | Dr. Benjamin D. Parrish and Assoc Od. PC | Optometrist | 114 S. Sycamore St, Elizabethton, TN 37643 | 2015-07-14 |
| 1972980431 | Valerie Lynn Pierce | Nurse's Aide | 101 Crowe Rd, Elizabethton, TN 37643 | 2015-05-04 |
| 1679816730 | Jeremy Meyer | Surgery | 1497 W Elk Ave Ste 10, Elizabethton, TN 37643 | 2013-03-27 |
| 1649579087 | Melinda Lynn Jennings | Pharmacist | 507 West Elk Ave, Elizbethton, TN 37643 | 2011-03-24 |
| 1588987036 | Troy Kevin Covarrubias | Driver | 219 Coal Chute Rd, Elizabethton, TN 37643 | 2010-03-11 |
| 1649502048 | Derek Charles Rhoton | Physician Assistant | 1500 West Elk Ave, Elizabethton, TN 37643 | 2010-02-10 |
| 1144456047 | Peacock Medical Equipment and Home Health Care LLC | Home Health | 1201 Highway 19 E Bypass Suite 3, Elizabethton, TN 37643 | 2009-06-05 |
| 1235386434 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1210 Militia Ct., Elizabethton, TN 37643 | 2008-08-19 |
| Find all providers in zip 37643 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416330 | Laura Jean Schmid | Nurse Practitioner | 2200 Childrens Way Ste 3103, Nashville, TN 37232-0034 | 2020-10-27 |
| 1801495338 | Heidi Bevans | Nurse Practitioner | 1440 Cedar Ln, Tullahoma, TN 37388-2485 | 2020-10-26 |
| 1629683453 | Monique Kyles | Nurse Practitioner | 148 Marrakesh Cir, Memphis, TN 38103-5830 | 2020-09-09 |
| 1164034013 | Donte Leonard | Nurse Practitioner | 952 Dolly Parton Pkwy, Sevierville, TN 37862-3707 | 2020-08-21 |
| 1114545050 | Regina Jill Brown | Nurse Practitioner | 1441 Guthrie Dr Nw, Cleveland, TN 37311-3642 | 2020-07-07 |
| 1295350361 | Amber Rose King | Nurse Practitioner | 439 N Graham St, Memphis, TN 38122-3831 | 2020-06-14 |
| 1346869302 | Ashley O'brien | Nurse Practitioner | 1044 Oak Drive, White Bluff, TN 37187-3718 | 2020-04-10 |
| 1487298634 | Madison Hatfield | Nurse Practitioner | 2200 Childrens Way Fl 8, Nashville, TN 37232-0005 | 2019-10-31 |
| 1184267270 | Mary Elizabeth Coletti | Nurse Practitioner | 1029 W Main St # 3301, Lebanon, TN 37087-3351 | 2019-10-22 |
| 1508408956 | Stephanie Nidiffer | Nurse Practitioner | 3328 Jenkins Rd Ste 200, Chattanooga, TN 37421-1298 | 2019-10-16 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTON |
| Zip Code | 37643 |
Please comment or provide details below to improve the information on MRS. JESSICA D LANE.
| 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.