Jenna Kay Cole, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Laurel, MS
NPI 1962777896 · NPPES record last updated Mar 21, 2024
Key facts
- NPI
- 1962777896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R885106 (MS)
- Practice address
- 30 Circle J Dr
Ste 1
Laurel, MS 39440-1980 - Phone
- (601) 425-0092
- Fax
- (601) 425-0473
- NPI assigned
- Mar 10, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trustcare Health, LLC
Practice addresses (Care Compare)
1051 Highland Colony Pkwy
Suite E
Ridgeland, MS 39157-7701
Phone (601) 707-3737
Hospital & facility affiliations
- St Dominic-Jackson Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120502000552 | MS | Practitioner - Nurse Practitioner | 2668634932 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R885106 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Ridge Family Clinic, LLC | Current |
Accepting new patients | |
| BMC - Attala, LLC | Current |
Accepting new patients | |
| Baptist Medical Center - Yazoo, Inc | Current |
Accepting new patients | |
| Mississippi Baptist Medical Center, Inc. | Current |
Accepting new patients | |
| Trustcare Primary Care, LLC | Current |
Accepting new patients | |
| Baptist Medical Center-Leake, Inc | Current | Accepting new patients | |
| Baptist Medical Center-Leake, Inc. | Current |
Accepting new patients | |
| Baptist Medical Center-Leake, Inc | Current |
Accepting new patients | |
| Mississippi Baptist Medical Center, Inc | Current |
Accepting new patients | |
| Baptist Medical Center - Yazoo, Inc | Current | Accepting new patients | |
| Trustcare Health, LLC | Current |
Accepting new patients | |
| Baptist Medical Center - Yazoo, Inc | Current |
Accepting new patients | |
| Mississippi Baptist Medical Center, Inc. | Current | Accepting new patients | |
| St. Dominic Jackson Memorial | Past | Accepting new patients | |
| Advantage Health Saint Mary'S Medical Group | Past | Accepting new patients |
Locations
1887 Spillway Rd
Brandon, MS 39047
Phone (601) 992-5532
1645 W Government St
Ste F
Brandon, MS 39042
Phone (601) 829-6600
1490 W Government St
Ste 10
Brandon, MS 39042
Phone (601) 825-1936
106 Clinton Pkwy
Clinton, MS 39056
Phone (601) 924-9005
601 Highway 80 E
Clinton, MS 39056
Phone (601) 708-1480
80 Hal Crocker Rd
Ellisville, MS 39437
Phone (601) 477-2221
151 E Metro Dr
Ste 103
Flowood, MS 39232
Phone (601) 992-3288
1710 Old Fannin Rd
Flowood, MS 39232
Phone (601) 487-9191
102 Lexington Dr
#100
Gluckstadt, MS 39110
Phone (601) 973-1688
4880 I 55 Frontage Rd N
Jackson, MS 39211
Phone (601) 467-9199
7275 S Siwell Rd
Jackson, MS 39272
Phone (601) 373-7722
1200 N State St
Ste LL10
Jackson, MS 39202
Phone (601) 362-7280
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
6250 Old Canton Rd
Ste 100
Jackson, MS 39211
Phone (601) 957-1015
220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311
2173 Main St
Madison, MS 39110
Phone (601) 605-3858
401 Baptist Dr
Ste 401
Madison, MS 39110
Phone (601) 853-1070
401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383
3011 Greenfield Rd
Pearl, MS 39208
Phone (601) 825-9000
1201 Highway 49 S
Ste 1
Richland, MS 39218
Phone (601) 326-8700
1051 Highland Colony Pkwy
Ste E
Ridgeland, MS 39157
Phone (601) 707-3737
1067 Highland Colony Pkwy
Ste G
Ridgeland, MS 39157
Phone (601) 707-3490
786 Lake Harbour Dr
Ridgeland, MS 39157
Phone (601) 499-0022
1067 Highland Colony Pkwy
Ridgeland, MS 39157
Phone (601) 707-3490
823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261
Interoperability endpoints
- jcole576205@direct.bmhcc.org
- jenna.cole.1@19538.direct.athenahealth.com
- https://api.platform.athenahealth.com/6104/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R885106 | MS | Yes |
Addresses
Primary practice location
30 Circle J Dr
Ste 1
Laurel, MS 39440-1980
Mailing address
30 Circle J Dr
Ste 1
Laurel, MS 39440-1980
Phone (601) 425-0092
Other providers in Laurel, MS
- William G. Clark
- Rushie Clayton
- CLC of Laurel, LLC
- Jackie Coats
- Cohen Podiatry Clinic
- Justin L Cole
- Coleman Transit
- Collins and Collins I LLC
- George G Collins Jr.
- Community Care Center of Laurel, LLC
All providers in Laurel, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.