Jennifer Marie Redmond, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R861840 Issued in MS

Practice address

2210 Mill Street Ext Ste D
Lucedale, MS 39452-6079

Phone

(601) 791-5004

Fax

(601) 791-5243

NPI assigned

Aug 11, 2006

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)

Enrolled

Credentials

Nurse Practitioner

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.

• J Fails, LLC

  • General Practice Physician
  • Vancleave, MS
  • NPI 1780545103
  NPD Authorized official
• J Fails, LLC

  dba Lucedale Pediatrics

  • Primary Care Clinic/Center
  • Lucedale, MS
  • NPI 1851980379
  NPD

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1447261649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 MILL STREET EXT STE D",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526079",
            "telephone_number": "601-791-5004",
            "fax_number": "601-791-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 MILL STREET EXT STE D",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526079",
            "telephone_number": "601-791-5004",
            "fax_number": "601-791-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R861840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Pierce, P.T.
• Emily Rose Pinkerton, CNP
• Jay S Pinkerton, MD
• Chelce Nicole Pitts, FNP-C
• Amy Polite, OT
• Spencer Daniel Richardson, M.D.
• Samantha Renee Riser, PHARMD.
• Rocky L McGarity Inc (Edwards Discount Drugs)
• Rocky L. McGarity, Inc (Live Oak Medical Equipment & Supplies)
• Rocky L. McGarity, Inc.

• Family Nurse Practitioner in Lucedale, MS
• Providers in Lucedale, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.