JAY MITCHELL JEVNE


Address: 1110 7th Ave, Cumberland, WI 54829-9138
Phone: 7158227500

JAY MITCHELL JEVNE (NPI# 1942849484) 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) 1942849484
Entity Type Individual
Full Name JAY MITCHELL JEVNE
Credential RN
Practice Address 1110 7th Ave
Cumberland
WI 54829-9138
Mailing Address 529 N 72nd Ave
Omaha
NE 68114-3203
Practice Telephone 7158227500
Mailing Telephone 4026770574
Enumeration Date 2020-01-02
Last Update Date 2020-04-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
82387 NE Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
9972 WI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4101 Woolworth Ave, Omaha, NE 681051850 4029954840

Office Location

Street Address 1110 7TH AVE
City CUMBERLAND
State WI
Zip Code 54829-9138

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255382933 Cumberland Memorial Hospital General Acute Care Hospital 1110 7th Ave, Cumberland, WI 54829-9133 2006-05-15
1750990347 Jennifer Young Registered Nurse 1110 7th Ave, Cumberland, WI 54829-9138 2020-07-29
1700494804 Jane Nickell Registered Nurse 1110 7th Ave, Cumberland, WI 54829-9138 2020-07-15
1023636461 Cassandra Laurine Klatt Health Educator 1110 7th Ave, Cumberland, WI 54829-9138 2020-07-13
1619502275 Nicholas Pedersen Physician Assistant 1110 7th Ave, Cumberland, WI 54829-9138 2020-03-04
1346880077 Ashley Mikaila Quaderer Occupational Therapy Assistant 1110 7th Ave, Cumberland, WI 54829-9138 2020-01-10
1134778293 Amanda Meleen Speech-Language Pathologist 1110 7th Ave, Cumberland, WI 54829-9138 2019-09-10
1578078341 Deidri Sanderson Technician, Pathology 1110 7th Ave, Cumberland, WI 54829-9138 2017-12-02
1942726534 Cumberland Memorial Hospital, Inc Non-Pharmacy Dispensing Site 1110 7th Ave, Cumberland, WI 54829-9138 2017-08-16
1235651522 Craig Alexander Jennings Family Medicine 1110 7th Ave, Cumberland, WI 54829-9138 2017-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508100744 Michelle Marie Miller Licensed Practical Nurse 2503 12th St., Cumberland, WI 54829 2012-11-10
1336492230 Harriet Ailene Osumi Occupational Therapist 1220 Jeffery Blvd, Cumberland, WI 54829 2012-10-17
1497082663 Optima Natural Health & Wellness, LLC Chiropractor 1320 2nd Ave, Cumberland, WI 54829 2009-11-10
1295982593 Toftness Chiropractic Clinic LLC Chiropractor 1425 2nd Ave., Cumberland, WI 54829 2008-08-19
1114143740 Heather Colleen Gaylord Occupational Therapist 1110 7th Street, Cumberland, WI 54829 2007-04-18
1598857518 Jodi Lynne Griffith Chiropractor 1425 2nd Ave, Cumberland, WI 54829 2006-09-28
1750494449 Lee R Jacobson Od Sc Optometrist 1357 Second Ave, Cumberland, WI 54829 2006-08-16
1083917926 Blue Hills Chiropractic LLC Chiropractor 1320 2nd Avenue, Cumberland, WI 54829 2010-12-15
1538389846 Lee R Jacobson Od Sc Eyewear Supplier (Equipment, not the service) 1357 Second Ave, Cumberland, WI 54829 2007-04-27
1134211154 Thomas Lee Toftness Chiropractor 1425 2nd Ave, Cumberland, WI 54829 2006-09-28
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730797416 Ascensions Wellness LLC Nurse Practitioner 618 N Mechanic St, Cumberland, MD 21502-2113 2020-07-17
1447621925 Sarah Wempe Nurse Practitioner 300 East Oldtown Road Suite 1, Villa Maria of Mountain Maryland, Cumberland, MD 21502 2015-10-09
1073864203 Howard J Faulkner Nurse Practitioner 208 N Centre St, Cumberland, MD 21502-2226 2012-09-27
1083227060 Jessica Lynn Henderson Nurse Practitioner 200 Glenn St Ste 302, Cumberland, MD 21502-2583 2020-08-28
1063033702 Zimela Wellness Center, LLC Nurse Practitioner 11602 Bedford Rd Ne, Cumberland, MD 21502-6805 2020-05-05
1326580473 Diana Dawn Pryor Nurse Practitioner 12502 Willowbrook Rd, Suite 380, Cumberland, MD 21502-6491 2016-11-07
1679957120 Allegany Behavioral Medicine Nurse Practitioner 517 E Oldtown Rd, Cumberland, MD 21502-3687 2015-07-15
1528479094 Positive Progression, PC Nurse Practitioner 208 N Centre St, Cumberland, MD 21502-2226 2014-05-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003422726 Wisconsin Healthcare Family Practices and Behavioral Services LLC Nurse Practitioner 10721 W Capitol Dr Ste G103, Wauwatosa, WI 53222-1210 2020-09-17
1689292856 Julianne Margaret John Nurse Practitioner 3237 S 16th St Ste 310, Milwaukee, WI 53215-4526 2020-07-13
1356968002 Marisa Hiley Nurse Practitioner W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 2020-06-29
1932726700 Lauren Marie Skemp Nurse Practitioner 1960 Hyview Rd, Cuba City, WI 53807-9718 2020-06-28
1235779240 Conscious Practice, LLC Nurse Practitioner 119 19th St N, La Crosse, WI 54601-3724 2020-01-08
1073152161 Stephanie L Ruskell Nurse Practitioner 3805 Spring St Ste 240, Mount Pleasant, WI 53405-1667 2020-01-06
1558924811 Sarah Kathryn Garven Nurse Practitioner 5000 West National Ave Rm 3119, Milwaukee, WI 53295-1000 2019-04-22
1104394535 Therese Ann Alm Nurse Practitioner 383 Williamstowne Ste 101, Delafield, WI 53018-2332 2018-11-03
1477079242 Aeron Rachel Adams Nurse Practitioner W10237 Lake Emily Rd, Fox Lake, WI 53933 2017-08-14
1396140398 Monica Gorski Nurse Practitioner 505 King St Ste 218, La Crosse, WI 54601-4289 2014-11-03
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Competitor

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City CUMBERLAND
Zip Code 54829

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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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