Provider Demographics
NPI:1912540428
Name:MAY, JENNIFER LASHON
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LASHON
Last Name:MAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:LASHON
Other - Last Name:WINFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:
Mailing Address - City:SILVER CREEK
Mailing Address - State:MS
Mailing Address - Zip Code:39663-0308
Mailing Address - Country:US
Mailing Address - Phone:601-806-5088
Mailing Address - Fax:601-806-5089
Practice Address - Street 1:141 JEFFERSON STREET STE, C
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:MS
Practice Address - Zip Code:39654-3965
Practice Address - Country:US
Practice Address - Phone:601-806-5088
Practice Address - Fax:601-806-5089
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No376J00000XNursing Service Related ProvidersHomemaker
No385H00000XRespite Care FacilityRespite Care