Nurse Practitioner in JACKSON, MS
Last Updated on : Jan 13,2015
ROMONA BROUSSARD MAYEUX is a Nurse Practitioner provider in JACKSON, United States. Her medical specialization is Nurse Practitioner with a focus in Family.
1437151636 is NPI number of ROMONA BROUSSARD MAYEUX.
ROMONA BROUSSARD MAYEUX's primary taxonomy code based on NPI Lookup is 363LF0000X with license number R881289. This taxonomy code refers to Nurse Practitioner.
ROMONA BROUSSARD MAYEUX has more than 17 years of experience.
ROMONA BROUSSARD MAYEUX current practice location address is 248 E CAPITOL ST, JACKSON, MS. ROMONA BROUSSARD MAYEUX can be reached out via phone at 601-714-2563 and via fax at 601-510-4653 .
You can also correspond with ROMONA BROUSSARD MAYEUX through mail at mailing address 248 E CAPITOL ST, JACKSON, MS, United States. Mailing address contact number is 601-714-2563.
The enumeration date of ROMONA BROUSSARD MAYEUX is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 8 years ago.Basic NPI information of ROMONA BROUSSARD MAYEUX (NPI 1437151636) is provided below.
Name | ROMONA BROUSSARD MAYEUX |
---|---|
National Provider Id (NPI) | 1437151636 |
Entity Type | Individual |
Gender | F |
Credential | FNP-BC |
Practice Address | 248 E CAPITOL ST,
ROOM 105
JACKSON, MS, United States |
Practice Telephone | 601-714-2563 |
Practice Fax Number | 601-510-4653 |
Mailing Address | 248 E CAPITOL ST ,
ROOM 105
JACKSON, MS, United States |
Mailing Telephone | 601-714-2563 |
Mailing Fax Number | 601-510-4653 |
Enumeration Date | 01-Jun-2005 |
Last Updated Date | 13-Jan-2015 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner, Family | R881289 | MS |
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner, Family | RN041380 AP01824 | LA |
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
1655244 | MEDICAID (05) | LA | |
AP01824 | Other (non-Medicare) (01) | LA | APN License Number |
R881289 | Other (non-Medicare) (01) | MS | Mississippi States Board of Nursing |
RN041380 | Other (non-Medicare) (01) | LA | RN License Number |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1245329309 | SAUD M . FAROOQI | Specialist | 255 W MICHIGAN AVE,
JACKSON, MI, United States |
12-Oct-2006 |
1073170072 | 11 HISTORY LANE OPERATING COMPANY, LLC | Assisted Living Facility | 11 HISTORY LANE,
JACKSON, NJ, United States |
24-May-2019 |
1932108693 | 11 HISTORY LANE OPERATING COMPANY, LLC | Respite Care | 11 HISTORY LANE,
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15-Jul-2005 |
1871227173 | 123 SERENITY THERAPY LLC | Assistant Behavior Analyst | 333 MEADOWOOD RD,
JACKSON, NJ, United States |
12-Jul-2022 |
1013326743 | 1ST PRIORITY HEALTHCARE SERVICES, LLC | Community/Behavioral Health | 2600 RIVER RIDGE DR,
SUITE 102 JACKSON, MS, United States |
06-Aug-2014 |
1265976963 | 1ST STEP FITNESS | Specialist/Technologist, Athletic Trainer | 95 RIVERPORT DR,
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14-Dec-2016 |
1457910150 | 2BD ANESTHESIA PC | Nurse Anesthetist, Certified Registered | PO BOX 1123,
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07-Jun-2019 |
1689142317 | 3 B LABS | Durable Medical Equipment & Medical Supplies | 3011 GREYSTONE SQ,
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12-Nov-2018 |
1881324036 | 3BA CONSULTANTS | Behavior Analyst | PO BOX 11202,
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12-Jun-2022 |
1922452069 | 4 U CARE | Home Health | PO BOX 705,
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14-Apr-2016 |
1912326539 | 45 URGENT CARE, P.C. | Family Medicine | 2012 GREYSTONE SQ,
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10-Apr-2014 |
1144732736 | 4JS LLC | Registered Nurse, Registered Nurse First Assistant | PO BOX 9871,
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03-Nov-2017 |
1083671895 | A & A HEALTH SYSTEMS, INC | 5440 WATKINS DR,
STE A JACKSON, MS, United States |
26-Apr-2006 | |
1750357703 | A & A MEDICAL, LLC | Durable Medical Equipment & Medical Supplies | 31E BOWLING DR,
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28-Feb-2006 |
1760921225 | A BEAUTIFUL MIND LLC | Nurse Practitioner, Psych/Mental Health | 144 OLD ORCHARD RD,
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16-Feb-2017 |
1215679915 | A BETTER PATH TREATMENT PROGRAMS | Substance Abuse Rehabilitation Facility | 3247 LE BOURGET LN,
LINCOLN, CA, United States |
12-Apr-2022 |
1396471041 | A BETTER WAY TO CARE LLC | In Home Supportive Care | 575 S ROYAL ST STE 38,
JACKSON, TN, United States |
26-Jul-2022 |
1154562775 | A CENTER FOR COUNSELING, LLC | Social Worker, Clinical | 2427 SPRING ARBOR RD STE 1AND2,
JACKSON, MI, United States |
11-Mar-2009 |
1184080426 | A FOCUSED BRAIN LLC | Clinic/Center, Rehabilitation | 4345 MEADOWRIDGE DR,
JACKSON, MS, United States |
31-Dec-2015 |
1841596806 | A FRANCINE TRYKA MD PC | Clinical Medical Laboratory | PO BOX 3789,
JACKSON, WY, United States |
08-Feb-2011 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1437151636 is the NPI number of ROMONA BROUSSARD MAYEUX.
What is the specialty for ROMONA BROUSSARD MAYEUX?The Specialty of ROMONA BROUSSARD MAYEUX is Nurse Practitioner.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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