Provider Demographics
NPI:1588795173
Name:HELUMS, JADA LOANNE (RN)
Entity type:Individual
Prefix:MRS
First Name:JADA
Middle Name:LOANNE
Last Name:HELUMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 WASHINGTON ST W STE A
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37334-2872
Mailing Address - Country:US
Mailing Address - Phone:931-433-3231
Mailing Address - Fax:931-438-1567
Practice Address - Street 1:1000 WASHINGTON ST W STE A
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37334-2872
Practice Address - Country:US
Practice Address - Phone:931-433-3231
Practice Address - Fax:931-438-1567
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000145252163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse