Mr. Jeremy Paul Wade

FNP, ENP, PMHNP | Nurse Practitioner | 16+ years Exp

1047 S Wells St, Meridian
  Idaho, 83642-7997
601-451-4333
Accepts Medicare Nurse Anesthetist in Meridian, Idaho.
Mr. Jeremy Paul Wade is a Meridian, Idaho based nurse practitioner with 16 years of experience in . He completed his graduation in 2008. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Jeremy Paul Wade is 862789 for Family in Mississippi. His current practice location is 1047 S Wells St, Meridian. Patients can reach him at 601-451-4333 or can fax him at 888-317-1077. Mr. Jeremy Paul Wade is FNP, ENP, PMHNP and his NPI number (Unique professional ID assigned by NPPES) is 1538494489.
Mr. Jeremy Paul Wade has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Jeremy Paul Wade speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mr. Jeremy Paul Wade
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: FNP, ENP, PMHNP
Experience: 16+ years
Medical School Attended:Other
Graduation Year:2008
Accepts Medicare Assignment:Yes
Practice Address:1047 S Wells St, Meridian,
Idaho, 83642-7997
Phone:601-451-4333
Fax:888-317-1077
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 6406029487
Enrollment ID: I20111108000436
NPI Number: 1538494489
NPI Enumeration Date: 09 Oct, 2009
NPI Last Update On: 18 Jun, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jeremy Paul Wade are as mentioned below.
License NumberSpecializationStateStatus
862789Family MississippiPrimary
10017010Registered Nurse OregonSecondary
862789Registered Nurse MississippiSecondary
CS72647Family IdahoSecondary
10017010Family OregonSecondary
77657Family IdahoSecondary
77657Psych/Mental Health IdahoSecondary
CS72647Psych/Mental Health IdahoSecondary
862789Psych/Mental Health MississippiSecondary
10017010Psych/Mental Health OregonSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(250078)Hattiesburg, MSAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Mr. Jeremy Paul Wade is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Relias Emergency Medicine Specialists Of Hattiesburg Llc (9032549142)32
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jeremy Paul Wade such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
00534527MedicaidMississippi
500830485MedicaidOregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mr. Jeremy Paul Wade
4780 I 55 N, Suite 116, Pmb 989333
Jackson, Mississippi
Zip: 39211-6067
Phone Number: 601-451-4333
Fax Number: 888-317-1077
Patients can reach Mr. Jeremy Paul Wade at 1047 S Wells St, Meridian, Idaho or can call to book an appointment on 601-451-4333.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.