Jessica Nelson, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

06419 Issued in TN

Practice address

5565 Murray Ave Ste 202
Memphis, TN 38119-0804

Phone

(901) 761-3456

NPI assigned

Sep 27, 2021

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

Other names 1

• Miss Jessica Sullivan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1578234779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 MURRAY AVE STE 202",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190804",
            "telephone_number": "901-761-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 MURRAY AVE STE 202",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190804",
            "telephone_number": "901-761-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "06419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SULLIVAN",
            "prefix": "MISS",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eleanor Crenshaw Nelson, LCSW
• Fay Leone Nelson
• Grace Bazan Nelson, M.D.
• Howard Eugene Nelson, PH.D.,LPC-MSHP, LCPT
• Jeffrey Scott Nelson, MD
• Jimarie Nelson, APRN
• John Shelton Nelson, MD
• Jonathan Drew Nelson, OD
• Marquita Nelson, M.D.
• Richard A Nelson, MD

• Dental Hygienist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dental Hygienist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.