JENNIFER SUE NETTLES (NPI# 1003212242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003212242 |
| Entity Type | Individual |
| Full Name | JENNIFER SUE NETTLES |
| Credential | R.D.H |
| Practice Address |
916 Kentucky Ave Paducah KY 42003-1955 |
| Practice Telephone | 2704449625 |
| Practice Fax Number | 2705755458 |
| Mailing Telephone | 2704449625 |
| Mailing Fax Number | 2705755458 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 4144 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679929210 | Jennifer Nettles | Counselor | 3216 N Turnbull Dr, Suite A, Metairie, LA 70002-5732 | 2016-05-13 |
| Street Address |
916 KENTUCKY AVE |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427012137 | Elizabeth P Holcomb | Nurse Practitioner | 916 Kentucky Ave, Paducah-mccracken County Health Center, Paducah, KY 42003-1955 | 2006-04-12 |
| 1649564782 | Carlisle County Hands | Public Health or Welfare | 916 Kentucky Ave, Paducah, KY 42003-1955 | 2011-06-07 |
| 1548554694 | Mccracken County Hands | Public Health or Welfare | 916 Kentucky Ave, Paducah, KY 42003-1955 | 2011-06-07 |
| 1639463789 | Hickman County Hands | Public Health or Welfare | 916 Kentucky Ave, Paducah, KY 42003-1955 | 2011-06-07 |
| 1093009144 | Fulton County Hands | Public Health or Welfare | 916 Kentucky Ave, Paducah, KY 42003-1955 | 2011-06-07 |
| 1639352990 | Purchase District Health Department | Home Health | 916 Kentucky Ave, Paducah, KY 42003-1955 | 2007-12-10 |
| 1932399748 | Roberta M Garfield | Nurse Practitioner | 916 Kentucky Ave, Paducah, KY 42003-1955 | 2007-07-27 |
| 1598983090 | Purchase District Health Department | Home Health | 916 Kentucky Ave, Paducah, KY 42003-1955 | 2007-04-23 |
| 1437113156 | Purchase District Health Department | Home Health | 916 Kentucky Ave, Mccracken County Home Health Agency, Paducah, KY 42003-1955 | 2006-04-12 |
| 1760446488 | Sandy M Burton | Dietitian, Registered | 916 Kentucky Ave, Paducah-mccracken County Health Center, Paducah, KY 42001 | 2006-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554274 | Cheryl Lynn Kennedy | Dental Hygienist | 146 Whitman Way, Georgetown, KY 40324-8690 | 2020-06-25 |
| 1538675483 | Aimee Medders | Dental Hygienist | 968 1st Infantry Division Rd Bldg 2724, Fort Knox, KY 40121-5210 | 2017-12-14 |
| 1104277177 | Danielle Lynn Gerage | Dental Hygienist | 465 Monks Rd, New Haven, KY 40051-6195 | 2016-06-30 |
| 1609259258 | Laura Aline Gossom | Dental Hygienist | 5405 Bloomfield Rd, Bardstown, KY 40004-9195 | 2015-07-01 |
| 1598161127 | Carol Brenner | Dental Hygienist | 3312 Ellis Way, Louisville, KY 40220-1944 | 2014-11-10 |
| 1811290513 | Michelle Marie Hanke | Dental Hygienist | 4393 Jasmine Rose Way, Lexington, KY 40515-6351 | 2010-12-19 |
| 1841450749 | Melinda Marie Phillips | Dental Hygienist | 8250 Coppercreek Dr, Louisville, KY 40222-6820 | 2008-06-13 |
| 1366655193 | Belinda Denise Demond | Dental Hygienist | 1511 Kirkwood Dr, Murray, KY 42071-3222 | 2007-05-08 |
| 1548336985 | W Bruce Combest Psc | Dental Hygienist | 402 Richmond Rd, Suite C, Berea, KY 40403 | 2006-11-28 |
| 1710597331 | Amber Archey | Dental Hygienist | 2441 21st St, Fort Campbell, KY 42223-5582 | 2020-08-07 |
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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.