Jacklyn Hopper Wadlington

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

252 S Veterans Blvd
Tupelo, MS 38804-5022

Phone

(662) 871-1766

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043421613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 DAVID DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381165714",
            "telephone_number": "901-650-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 S VETERANS BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388045022",
            "telephone_number": "662-871-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADLINGTON",
        "first_name": "JACKLYN",
        "middle_name": "HOPPER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Vinson
• Jonathan Vinson, FNP-C
• Vision Care, Inc.
• Lindsay Michelle Vitagliano
• W Thomas Oakes Jr, MD, PC (Tupelo Neurology Clinic)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-4619)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0258)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0391)
• Wal-Mart Stores East, LP (Vision Center 30-0258)
• Wal-Mart Stores, Inc. (Vision Center 30-0391)

• Counselor in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.