JENNIFER DENISE KOZLICA (NPI# 1003038787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003038787 |
Entity Type | Individual |
Full Name | JENNIFER DENISE KOZLICA |
Credential | RN, MPH |
Practice Address |
540 Mccallie Ave Suite 450 Chattanooga TN 37402-2089 |
Mailing Address |
110 La Porte Dr Chattanooga TN 37415-1304 |
Practice Telephone | 4236345831 |
Practice Fax Number | 4236343139 |
Mailing Telephone | 4232800470 |
Mailing Fax Number | 4236343139 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
0000124675 | TN | Nursing Service Providers |
Street Address |
540 MCCALLIE AVE SUITE 450 |
City | CHATTANOOGA |
State | TN |
Zip Code | 37402-2089 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972594372 | William Maurice Peck | Dentist | 540 Mccallie Ave, Suite 450, Chattanooga, TN 37402-2089 | 2005-11-03 |
1679902498 | Jamye Dugan | Registered Nurse | 540 Mccallie Ave, Chattanooga, TN 37402-2089 | 2013-11-02 |
1376894998 | Robin Lee Moore | Registered Nurse | 540 Mccallie Ave, 4th Floor, Chattanooga, TN 37402-2089 | 2012-09-21 |
1033467162 | Jackie M Thompson | Registered Nurse | 540 Mccallie Ave, Suite 450, Chattanooga, TN 37402-2089 | 2012-08-21 |
1598023681 | Deborah Lynn Walker | Registered Nurse | 540 Mccallie Ave, Chattanooga, TN 37402-2089 | 2012-04-26 |
1922276922 | Cheryl Danielle Shelton | Registered Nurse | 540 Mccallie Ave, Suite 450, Chattanooga, TN 37402-2089 | 2008-02-13 |
1770797649 | Judy F Bruce | Registered Nurse | 540 Mccallie Ave, Chattanooga, TN 37402-2089 | 2007-05-10 |
1932311784 | Joan Elizabeth Grabeel | Registered Nurse | 540 Mccallie Ave, Suite 450, Chattanooga, TN 37402-2089 | 2007-05-04 |
1952523383 | Marsha Rogers | Registered Nurse | 540 Mccallie Ave, Suite 450, Chattanooga, TN 37402-2089 | 2007-05-03 |
1750593877 | Deborah Ann Solomon | Registered Nurse | 540 Mccallie Ave, Ste 450, Chattanooga, TN 37402 | 2007-05-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609480227 | Kathryn Ann Russell | Dietitian, Registered | 1067 Riverfront Pkwy., Suite 201, Chattanooga, TN 37402 | 2020-09-01 |
1962066167 | Carina Grace Pearson | Counselor | 1024 East M L King, Chattanooga, TN 37402 | 2019-04-24 |
1619461605 | Operative Monitoring of Southeast Tennessee | Psychiatry & Neurology | 200 W. Mlk Blvd, Suite 1000 (10th Floor), Chattanooga, TN 37402 | 2018-06-21 |
1427552280 | Riverdale Health Group LLC | Home Health | 200 W M L King Blvd, 1035 B, Chattanooga, TN 37402 | 2018-03-19 |
1336508431 | Ultraflex Systems, Inc. | Prosthetic/Orthotic Supplier | 200 W. Martin Luther King Blvd., Suite 1000, Chattanooga, TN 37402 | 2016-02-17 |
1982008868 | Freeman C. Doster Dds | Dentist | 1001 Carter Street, Suite B, Chattanooga, TN 37402 | 2014-10-21 |
1508021577 | Tommie Chadrena Thompson | Registered Nurse | 504 Mccallie Ave, Suite 450, Chattanooga, TN 37402 | 2008-07-18 |
1720174360 | Jenny Lynn Phillips | Physician Assistant | 1401 Carter Street Suite 102, Chattanooga, TN 37402 | 2006-10-04 |
1902843766 | Barbara Ann Beeler | Internal Medicine | 1 Cameron Hill Circle, Bcbst, Chattanooga, TN 37402 | 2006-06-01 |
1699764084 | Michelle S Kimball | Nurse Practitioner | 1101 Carter Street, Chattanooga, TN 37402 | 2005-10-18 |
Find all providers in zip 37402 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336513035 | Brandilyn Oliver | Registered Nurse | 1301 Riverfront Pkwy Ste 209, Chattanooga, TN 37402-3312 | 2015-11-18 |
1508021577 | Tommie Chadrena Thompson | Registered Nurse | 504 Mccallie Ave, Suite 450, Chattanooga, TN 37402 | 2008-07-18 |
1831728732 | Rebecca L Carter | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2020-04-03 |
1245867787 | Terri Lynelle Cotter | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2020-03-25 |
1174185185 | Angela Michelle Shrum | Registered Nurse | 730 E 11th St, Chattanooga, TN 37403-3103 | 2019-07-01 |
1982112108 | Gregory Oberschmidt | Registered Nurse | 1301 Riverfront Pkwy Ste 209, Chattanooga, TN 37402-3312 | 2018-01-22 |
1891233862 | Elizabeth Thomas | Registered Nurse | 1301 Riverfront Pkwy, Suite 209, Chattanooga, TN 37402-2233 | 2017-02-09 |
1720431000 | Angela Richmond | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2016-07-21 |
1720439573 | Alyssa Matulich | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2016-06-23 |
1568826469 | Marissa Thompson | Registered Nurse | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2016-04-07 |
Find all providers in CHATTANOOGA |
City | CHATTANOOGA |
Zip Code | 37402 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.