Organization Active NPI

JLW Associates, LLC

  • Gerontology Nurse Practitioner
  • Magnolia, AR
National Provider Identifier
1184861767
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
A01537 Issued in AR
Legal business name
JLW ASSOCIATES, LLC
Practice address
600 Lelia
Magnolia, AR 71753-4035
Phone
(870) 234-7000
NPI assigned
Jan 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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

Authorized official

Name
Miss Jessica Jane Westfall, APN
Title
Geriatric Nurse Practitioner
Phone
(870) 562-2505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X A01537 AR Primary

Addresses

Primary practice location

600 Lelia
Magnolia, AR 71753-4035

Mailing address

1417 Chestnut
Magnolia, AR 71753-2621
Phone (870) 562-2505

Other identifiers 2

IdentifierTypeStateIssuer
145671758MedicaidAR
5W576OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1184861767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 CHESTNUT",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532621",
            "telephone_number": "870-562-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LELIA",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717534035",
            "telephone_number": "870-234-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLW ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "GERIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "870-562-2505",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A01537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145671758",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5W576",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.