Essence Nurse LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ESSENCE NURSE LLC

Practice address

590 Highway 18 W
Quitman, MS 39355-8739

Phone

(601) 934-9629

NPI assigned

Jan 15, 2022

Last updated

Jan 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lakisha Gibson, RNNPI 1639820194

Title

Owner

Phone

(601) 934-9629

Specialties & licenses 1

Addresses

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.

• Lakisha Gibson, APRN

  • Family Nurse Practitioner
  • Quitman, MS
  • NPI 1639820194

  Clinical Medical Laboratory

  NPD Authorized official

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

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642204800000",
    "number": "1992456453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 HIGHWAY 18 W",
            "city": "QUITMAN",
            "state": "MS",
            "postal_code": "393558739",
            "telephone_number": "601-934-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 HIGHWAY 18 W",
            "city": "QUITMAN",
            "state": "MS",
            "postal_code": "393558739",
            "telephone_number": "601-934-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENCE NURSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-15",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-934-9629",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn M Cochran, OD
• Paula Yevette Cooks, LPC, NCC, LSW
• Dac of Quitman, LLC (Diversicare of Quitman)
• Donald G. Traxler, D.M.D., P.a.
• Christon Deanna Elfring, DNP,FNP
• Eye Clinic of Quitman PLLC
• Fred's Stores of Tennessee Inc. (Fred's Pharmacy #2720)
• Freds Pharmacy of Quitman
• Brittany Carney Gardner, FNP-C
• Lakisha Gibson, APRN

• Clinical Medical Laboratory in Quitman, MS
• Providers in Quitman, MS by specialty
• Clinical Medical Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.