DERRICK MICAH LOVE-JONES


Address: 1705 Martin Luther King Jr Blvd, Suite C, Dallas, TX 75215-3222
Phone: 2144255935

DERRICK MICAH LOVE-JONES (NPI# 1952728636) 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) 1952728636
Entity Type Individual
Full Name DERRICK MICAH LOVE-JONES
Other Name DERRICK MICAH JONES
Credential NP
Practice Address 1705 Martin Luther King Jr Blvd
Suite C
Dallas
TX 75215-3222
Practice Telephone 2144255935
Practice Fax Number 9729190425
Mailing Telephone 2144255935
Mailing Fax Number 9729190425
Enumeration Date 2014-03-19
Last Update Date 2016-03-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
786037 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1705 MARTIN LUTHER KING JR BLVD
SUITE C
City DALLAS
State TX
Zip Code 75215-3222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427405364 North Texas Neighborhood Medical Clinic, Pllc Nurse Practitioner 1705 Martin Luther King Jr Blvd, Ste C, Dallas, TX 75215-3222 2016-05-20
1558748459 Kidney House Pllc Nurse Practitioner 1705 Martin Luther King Jr Blvd, Suite C, Dallas, TX 75215-3222 2015-04-29

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1760830566 Medchiro Injury Rehab LLC Chiropractor 1619 Martin Luther King Jr Blvd, Dallas, TX 75215 2016-06-02
1245580315 Irfan Jadavji Family Medicine 2922-b Martin Luther King, Jr. Blvd, Dallas, TX 75215 2012-09-14
1982904165 Malcolm X Pediatric Clinic Clinic/Center 4432 Malcolm X Blvd., Dallas, TX 75215 2010-10-22
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063969459 Nrs, Inc Nurse Practitioner 1705 Martin Luther King Jr Blvd Ste C, Dallas, TX 75215-3223 2016-09-02
1851797294 Annette Moncion Nurse Practitioner 32 Midland Lane, Dallas, GA 30157 2014-11-12
1932719606 Jenny Garner Tharp Nurse Practitioner 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 2020-08-06
1386272466 Asha Y Dwumfour-poku Nurse Practitioner 5200 Harry Hines Blvd, Dallas, TX 75235-7709 2020-04-01
1689211963 Callie Lauren Harris Nurse Practitioner 5200 Harry Hines Blvd, Dallas, TX 75235-7709 2019-12-05
1891332656 Sharonda Ransom Nurse Practitioner 1411 N Beckley Ave Ste 352, Dallas, TX 75203-1270 2019-11-28
1740824473 Sandra Carranza Nurse Practitioner 7777 Forest Ln Ste C650, Dallas, TX 75230-6867 2019-11-06
1700348836 Kathryn Nicole Aubuchon Nurse Practitioner 3417 Gaston Ave Ste 1100, Dallas, TX 75246-2037 2019-04-06
1437610334 Victorian Healthcare Nurse Practitioner 2602 Martin Luther King Jr Blvd, Dallas, TX 75215-2309 2019-03-25
1851859250 Jenna Levesque Boivin Nurse Practitioner 7777 Forest Ln Ste C840, Dallas, TX 75230-2594 2019-03-05
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Competitor

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City DALLAS
Zip Code 75215

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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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