Jessica Nicole Wiggins

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

01D2209092 Issued in AL

Practice address

574 Azalea Rd Ste 106
Mobile, AL 36609-1517

Phone

(251) 229-1096

NPI assigned

Feb 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bayside Sitters

  • Clinical Medical Laboratory
  • Mobile, AL
  • NPI 1578212221
  NPD Authorized official

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

{
    "created_epoch": "1613260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613260800000",
    "number": "1073106753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 AZALEA RD STE 106",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091517",
            "telephone_number": "251-931-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 AZALEA RD STE 106",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091517",
            "telephone_number": "251-229-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-14",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "AL",
            "license": "01D2209092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Wicks
• Ashley Weaver Wiggins, ANP-BC
• Candyce Fontaijn Wiggins
• Cory W Wiggins, PHARMD
• Heather L. Wiggins, PT
• Margaret Arleen Wiggins, RPH
• Mary Katherine Wiggins
• Nicholas Wiggins
• Stephen P. Wilber, M.D.
• Jesse D Wilburn, DO RDMS RVT

• Clinical Pathology/Laboratory Medicine Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Clinical Pathology/Laboratory Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; 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.