Annie Elizabeth Jenkins, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R607584 Issued in MS

Practice address

212 S 13TH Ave
Laurel, MS 39440-4226

Phone

(601) 649-3821

Fax

(601) 649-3827

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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.

• Available Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Stringer, MS
  • NPI 1700073905
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2010.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1700930823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "address_2": "912 HIGHWAY 15",
            "city": "STRINGER",
            "state": "MS",
            "postal_code": "394810128",
            "telephone_number": "601-428-1341",
            "fax_number": "601-649-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S 13TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404226",
            "telephone_number": "601-649-3821",
            "fax_number": "601-649-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ANNIE",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R607584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING",
            "identifier": "R607584",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115231",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Jeffcoat
• Jefferson Medical Associates
• Jefferson Neurology Clinic, LLC
• Brandi Jefferson, NP
• Jeffersonr LLC
• Ashleigh Jenkins
• Jaimya Z Jenkins, LPN
• Adrianne Johnson
• Cleveland Eric Johnson, M.D.
• Courteney Johnson, PMHNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.