Individual provider Active NPI

Jennifer Key Jernighan, RN

  • Case Management Registered Nurse
  • Saltillo, MS
National Provider Identifier
1902406531
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
894951 Issued in MS
Practice address
139 Belle Meade Dr
Saltillo, MS 38866-9396
Phone
(662) 813-3133
NPI assigned
Nov 1, 2020
Last updated
Nov 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 894951 MS Primary

Addresses

Primary practice location

139 Belle Meade Dr
Saltillo, MS 38866-9396

Mailing address

139 Belle Meade Dr
Saltillo, MS 38866-9396
Phone (662) 813-3133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
894951MSMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Eliza Cares Homecare, LLC CurrentSince May 25, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1902406531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 BELLE MEADE DR",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388669396",
            "telephone_number": "662-813-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 BELLE MEADE DR",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388669396",
            "telephone_number": "662-813-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNIGHAN",
        "first_name": "JENNIFER",
        "middle_name": "KEY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MS",
            "license": "894951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saltillo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; 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.