Necole's Learning Academy LLC.

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

NECOLE'S LEARNING ACADEMY LLC.

Doing business as

Necole's Wellness Center

Practice address

1738 S Jackson St
Jacksonville, TX 75766-5831

Phone

(903) 284-6327

Fax

(900) 393-1184

NPI assigned

Nov 18, 2021

Last updated

Nov 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chaquarra Lastaysha Mitchell, REGISTERED NURSENPI 1932923265

Title

RN

Phone

(903) 787-2219

Specialties & licenses 1

Addresses

Other names 1

• Necole's Wellness Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chaquarra Lastaysha Mitchell

  • Family Nurse Practitioner
  • Jacksonville, TX
  • NPI 1932923265
  NPD Authorized official

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1588321186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 S JACKSON ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757665831",
            "telephone_number": "903-284-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 S JACKSON ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757665831",
            "telephone_number": "903-284-6327",
            "fax_number": "900-393-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECOLE'S LEARNING ACADEMY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CHAQUARRA",
        "authorized_official_middle_name": "LASTAYSHA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "903-787-2219",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Necole's Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Nurse in Jacksonville, TX
• Providers in Jacksonville, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.