DENNIS LONG (NPI# 1861436321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861436321 |
| Entity Type | Individual |
| Full Name | DENNIS LONG |
| Credential | NP |
| Practice Address |
1850 Chadwick Dr Jackson MS 39204-3404 |
| Mailing Address |
Po Box 75473 Baltimore MD 21275-5473 |
| Practice Telephone | 9048051300 |
| Practice Fax Number | 9048051302 |
| Mailing Telephone | 9048051300 |
| Mailing Fax Number | 9048051302 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R851248 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BLUE CROSS | 202011213A | 01 |
| MS | RAILROAD MEDICARE | P00212593 | 01 |
| MS | 00123788 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952924961 | Dennis Long | Perfusionist | 1440 Circle Dr, Glendale Heights, IL 60139-3310 | 2020-05-26 |
| 1467427039 | Dennis C Long | Radiology | 1319 Punahoo St, Honolulu, HI 96826 | 2006-02-17 |
| 1891790846 | Dennis Sage Long | Pediatrics | 488 Montauk Ave, New London, CT 06320-4615 | 2005-06-16 |
| 1316496409 | Dennis Wayne Long | Pharmacist | 200 Technology Ct Se, Suite B, Smyrna, GA 30082-5250 | 2016-09-29 |
| 1396159968 | Dennis Long | Durable Medical Equipment & Medical Supplies | 16 Ash Rd, Southport, NC 28461-9115 | 2014-06-11 |
| 1396043279 | Dennis R. Long | Social Worker | 3550 Watt Ave, Suite 180, Sacramento, CA 95821-2667 | 2011-03-02 |
| 1427351733 | Dennis M Long | Specialist | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2010-12-08 |
| 1295853547 | Dennis W Long | Nurse Practitioner | 224 N Frederick St, Cape Girardeau, MO 63701-5626 | 2007-03-26 |
| 1154454692 | Dennis A. Long | Psychiatry & Neurology | 2210 Dean St, Suite O-1, Saint Charles, IL 60175-1066 | 2007-03-13 |
| 1144319062 | Dennis R. Long | Internal Medicine | 45280 Seeley Dr Fl 3, La Quinta, CA 92253-6834 | 2006-10-11 |
| Street Address |
1850 CHADWICK DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39204-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518969724 | Steven E Zachow | Radiology | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2005-06-01 |
| 1346847274 | Devon Allred | Specialist/Technologist, Other | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2020-10-05 |
| 1194345991 | Jackson Hma LLC | Clinical Medical Laboratory | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2020-04-21 |
| 1174166383 | Amanda Brittany Busch | Nurse Practitioner | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2019-10-21 |
| 1184183725 | Mary Arnetta Sangster | Spec/Tech, Cardiovascular | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2019-03-13 |
| 1265904593 | Matthew Burkhalter | Physician Assistant | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-12-27 |
| 1023580693 | John Tyler Mclendon | Nurse Anesthetist, Certified Registered | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-12-20 |
| 1720562820 | Caleb Creel | Physical Therapist | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-09-24 |
| 1508346222 | Veronica Barton | Physical Therapist | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-08-21 |
| 1730687740 | App of Mississippi Ed, LLC | Emergency Medicine | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
| 1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
| 1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
| 1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
| 1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
| 1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
| 1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
| 1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
| 1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
| Find all providers in zip 39204 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332546 | Jaleesa Atkins | Nurse Practitioner | 4266 Springbrook Rd, Jackson, MI 49201-9716 | 2020-07-01 |
| 1457983785 | Amos N Macharia | Nurse Practitioner | 2130 Ridge Rd, Jackson, MO 63755-1612 | 2020-02-05 |
| 1649819590 | George Cavett Jr. | Nurse Practitioner | 2450 Twisted Oak Dr, Jackson, MS 39212-2137 | 2019-12-24 |
| 1851934723 | Hannah Louise Keel | Nurse Practitioner | 623 Gettysburg Dr, Jackson, TN 38305-7886 | 2019-10-23 |
| 1013559186 | Kirsten Siler | Nurse Practitioner | 27a Medical Center Drive, Jackson, TN 38301-3949 | 2019-10-10 |
| 1801447693 | Milestone Primary Care House Calls, LLC | Nurse Practitioner | 5260 Cedar Park Dr Ste E, Jackson, MS 39206-4131 | 2019-09-24 |
| 1750855870 | Michael L Chesney | Nurse Practitioner | 6055 Jordan Rd, Jackson, MI 49201-9580 | 2019-01-12 |
| 1609356500 | Angela Sophia Mcreynolds | Nurse Practitioner | 2500 N State St Rm S347, Jackson, MS 39216-4500 | 2018-08-20 |
| 1679050132 | Alicia Faye Green | Nurse Practitioner | 908 Bella Vista Dr, Jackson, MO 63755-7863 | 2018-07-26 |
| 1982119228 | Felix Taylor | Nurse Practitioner | 514 E Woodrow Wilson Ave Ste B, Jackson, MS 39216-4538 | 2017-12-08 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on DENNIS LONG.
| 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.