Jacinta Tokeya Stegall (NPI# 1699127027, PAC ID# 3971899576) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1699127027 |
| PAC ID by PECOS | 3971899576 |
| Professional Enrollment ID | I20160908000545 |
| Full Name | Jacinta Tokeya Stegall |
| Organization Legal Name | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| Address |
405 Briarwood Dr 103g Jackson MS 39206-3029 |
| Phone Number | 8009400389 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6709030133 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250006 | BAPTIST MEMORIAL HOSPITAL UNION COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 405 Briarwood Dr, 103g, Jackson, MS 39206-3029 | 8009400389 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 405 Briarwood Dr, Jackson, MS 39206-3029 | 8009400389 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| Organization Legal Name | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Regina Mercer Ward | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 239 Arrowhead Blvd, Jonesboro, GA 30236-1101 |
| Aquita Thomas | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 7054 Veterans Pkwy, Pell City, AL 35125-5117 |
| Irene Mutembei | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 3605 Ratliff Rd, Birmingham, AL 35210-4512 |
| Gina Marie Sumpter | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Janine Gibbs Larry | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 16391 Robinson Rd, Gulfport, MS 39503-4816 |
| Lauren Mcminn | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 101 Villa Dr, Daphne, AL 36526-4653 |
| Dawn Renee Pomaibo | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 601 S Church St, Mount Pleasant, PA 15666-1703 |
| Mary Elizabeth Maceachern-crain | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 301 S Perimeter Dr, Suite 123, Nashville, TN 37211-4128 |
| Terri Hipp | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 909 W St, Pittsburgh, PA 15221-2833 |
| Terry Jean Nesmith | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 100 Woodmont Rd, Johnstown, PA 15905-1342 |
| Street Address |
405 BRIARWOOD DR 103G |
| City | JACKSON |
| State | MS |
| Zip | 39206-3029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheryll Angela Vincent | Pediatric Medicine | 5440 Watkins Dr, Jackson, MS 39206-2034 | |
| David N Duddleston | Internal Medicine | 1116 Forest Ave, Jackson, MS 39206-3216 | |
| Lakeisha Crye Green | Nurse Practitioner | 5411 I 55, Jackson, MS 39206-3616 | |
| Ashley Lynne Bullock | Occupational Therapy | Inmotion Rehab, LLC | 5411 I 55, Jackson, MS 39206-3616 |
| Tammy English | Physical Therapy | Inmotion Rehab, LLC | 5411 I 55, Jackson, MS 39206-3616 |
| Brynn Corbello | Occupational Therapy | Inmotion Rehab, LLC | 5411 I 55, Jackson, MS 39206-3616 |
| Margaret Elizabeth Shrader | Physical Therapy | Inmotion Rehab, LLC | 5411 I 55, Jackson, MS 39206-3616 |
| Mikki Leigh Daniel | Physical Therapy | Inmotion Rehab, LLC | 5411 I 55, Jackson, MS 39206-3616 |
| Annyce Campbell | Family Medicine | 4510 Hanging Moss Rd, Jackson, MS 39206-3962 | |
| Nkeba Imani Bell | Nurse Practitioner | 4510 Hanging Moss Rd, Jackson, MS 39206-3962 | |
| Find all physicians in zip 39206 | |||
| City | JACKSON |
| Zip Code | 39206 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jacinta Tokeya Stegall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.