Active NPI
Jennie A. Gunn, NP
- Nurse Practitioner
- Batesville, MS
National Provider Identifier
1508082124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R146140
- Practice address
- 590 Highway 6 E
Batesville, MS 38606-3002 - Phone
- (662) 563-8703
- Fax
- (662) 563-9500
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R146140 | MS | Primary |
Addresses
Primary practice location
590 Highway 6 E
Batesville, MS 38606-3002
Mailing address
590 Highway 6 E
Batesville, MS 38606-3002
Phone (662) 563-8703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0126341 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Counseling | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Batesville, MS
- NPI 1891919668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1508082124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 HIGHWAY 6 E",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386063002",
"telephone_number": "662-563-8703",
"fax_number": "662-563-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 HIGHWAY 6 E",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386063002",
"telephone_number": "662-563-8703",
"fax_number": "662-563-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNN",
"first_name": "JENNIE",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R146140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0126341",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Batesville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.