Neva Jo Pettigrew, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R684899 Issued in MS

Practice address

1710 14TH St
Meridian, MS 39301-4140

Phone

(601) 703-1485

Fax

(601) 703-1488

NPI assigned

May 15, 2008

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

• Neva Jo Strickland Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2013.

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1679740997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 19TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014116",
            "telephone_number": "601-703-4282",
            "fax_number": "601-703-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014140",
            "telephone_number": "601-703-1485",
            "fax_number": "601-703-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIGREW",
        "first_name": "NEVA",
        "middle_name": "JO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R684899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01758833",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEVA",
            "last_name": "STRICKLAND",
            "middle_name": "JO",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathy M. Pendergrass, PHD, CFNP
• James Dean Perkins, M.D.
• Laura Elizabeth Perry, FNP
• Brett J. Person, M.D.
• Kristin Taylor Peterson, FNP-C
• George Lycurglus Petty, M.D.
• Hai Tan Pham, MD
• Minh Pham, MD
• Phi Health, LLC
• Francis M. Phillippi III, M.D.

• All providers in Meridian, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.