Organization Active NPI

Jessica Anglin NP PLLC

  • Health Service Clinic/Center
  • Sebree, KY
National Provider Identifier
1629720180
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
JESSICA ANGLIN NP PLLC
Doing business as
Jessica Anglin NP PLLC
Practice address
5137 State Route 56 E
Sebree, KY 42455-9144
Phone
(270) 635-6360
NPI assigned
Jan 25, 2022
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Jessica Lynn AnglinNPI 1104438902
Title
Nurse Practitioner
Phone
(270) 635-6360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

5137 State Route 56 E
Sebree, KY 42455-9144

Mailing address

5137 State Route 56 E
Sebree, KY 42455-9144
Phone (270) 635-6360

Other names 1

  • JESSICA ANGLIN NP PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1629720180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5137 STATE ROUTE 56 E",
            "city": "SEBREE",
            "state": "KY",
            "postal_code": "424559144",
            "telephone_number": "270-635-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5137 STATE ROUTE 56 E",
            "city": "SEBREE",
            "state": "KY",
            "postal_code": "424559144",
            "telephone_number": "270-635-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA ANGLIN NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "270-635-6360"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JESSICA ANGLIN NP PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sebree, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.