DR. JENNIFER L DELUCA-STAFFORD (NPI# 1013340272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013340272 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER L DELUCA-STAFFORD |
| Credential | DC |
| Practice Address |
6934 Beach Dr Sw Ste 2 Ocean Isle Beach NC 28469-5797 |
| Practice Telephone | 9105752225 |
| Practice Fax Number | 9105752275 |
| Mailing Telephone | 9105752225 |
| Mailing Fax Number | 9105752275 |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3282 | NC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LICESE NUMBER NC | 3282 | 01 |
| Street Address |
6934 BEACH DR SW STE 2 |
| City | OCEAN ISLE BEACH |
| State | NC |
| Zip Code | 28469-5797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538133376 | Pamela J Owens | Chiropractor | 6934 Beach Dr Sw, Ocean Isle Beach, NC 28469-5797 | 2006-02-16 |
| 1861703829 | Justin Randolph Valentine | Dentist | 6934 Beach Dr Sw, Ocean Isle Beach, NC 28469-5797 | 2010-06-24 |
| 1932274339 | Pamela J Owens Dcpc | Chiropractor | 6934 Beach Dr Sw, Suite 2, Ocean Isle Beach, NC 28469-5797 | 2006-11-21 |
| 1366411720 | Russell D Edgar | Chiropractor | 6934 Beach Dr Sw, Suite 2, Ocean Isle Beach, NC 28469-5797 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900591 | Crista Colaneri | Specialist/Technologist | 1284 Neptuno Ct Sw, Ocean Isle Beach, NC 28469 | 2017-08-31 |
| 1093193096 | Barbara Jean Williams | Counselor | 120-2 Causeway Drive, #5, Ocean Isle Beach, NC 28469 | 2015-05-11 |
| 1548443286 | Connie Jane Numbers | Social Worker | 113b Causeway Drive, Ocean Isle Beach, NC 28469 | 2007-12-17 |
| 1225182488 | Remedy, Inc | Durable Medical Equipment & Medical Supplies | 925-1 Seaside Road Sw, Ocean Isle Beach, NC 28469 | 2007-01-23 |
| 1144374489 | Tamala Jane Hartsell | Pharmacist | Remedy Shoppe Pharmacy, 925-1 Sunset Commons Seaside Rd Sw, Ocean Isle Beach, NC 28469 | 2007-01-23 |
| 1043326903 | Tina Signe Axelsson | Chiropractor | 7290 13 Beach Drive Sw, Ocean Isle Beach, NC 28469 | 2006-08-22 |
| 1699113142 | Donna Thomas | Counselor | 1826 W. Long Arces Drive, Ocean Isle Beach, NC 28469-0000 | 2013-06-06 |
| 1912129594 | Raleigh Jackson Putnam Jr. | Pharmacist | 7051 Bloomsbury Ct Sw, Ocean Isle Beach, NC 28469-3653 | 2007-05-03 |
| 1902142086 | Nicole Betz | Specialist | 6278 Beach Dr Sw Ste 114, Ocean Isle Beach, NC 28469-3670 | 2012-12-18 |
| 1760082440 | Elizabeth Gillard | Physical Therapist | 6278 Beach Dr Sw Ste 114, Ocean Isle Beach, NC 28469-3670 | 2020-10-30 |
| Find all providers in zip 28469 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710528245 | By The Beach Chiropractic Health Center P. C. | Chiropractor | 6934 Beach Dr Sw Ste 2, Ocean Isle Beach, NC 28469-5797 | 2019-10-06 |
| 1154490688 | Coastal Breeze Chiropractic | Chiropractor | 109 Causeway Dr Ste 6, Ocean Isle Beach, NC 28469-7523 | 2006-11-07 |
| 1043326903 | Tina Signe Axelsson | Chiropractor | 7290 13 Beach Drive Sw, Ocean Isle Beach, NC 28469 | 2006-08-22 |
| 1538133376 | Pamela J Owens | Chiropractor | 6934 Beach Dr Sw, Ocean Isle Beach, NC 28469-5797 | 2006-02-16 |
| 1366411720 | Russell D Edgar | Chiropractor | 6934 Beach Dr Sw, Suite 2, Ocean Isle Beach, NC 28469-5797 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001776 | Abigail Plowcha | Chiropractor | 4818 Charlton Ln, Charlotte, NC 28210-2705 | 2020-10-22 |
| 1154920056 | Willow Health and Wellness | Chiropractor | 643 Greenway Rd Ste K1, Boone, NC 28607-4840 | 2020-10-21 |
| 1639778855 | Brittany Alexa Kopec | Chiropractor | 916 W Morgan St, Raleigh, NC 27603-1512 | 2020-10-19 |
| 1598363343 | Sierra Davis | Chiropractor | 8420 New Town Rd Ste 102, Waxhaw, NC 28173-7088 | 2020-10-14 |
| 1225644024 | Tory Hall | Chiropractor | 8424 Ovation Dr, Cary, NC 27513-2646 | 2020-09-17 |
| 1821602707 | Jose Cruz Troche | Chiropractor | 6253 South Blvd, Charlotte, NC 28217-4440 | 2020-09-08 |
| 1720692924 | Scott Chiropractic LLC | Chiropractor | 1075 Walmart Dr, Williamston, NC 27892-9749 | 2020-09-04 |
| 1437763711 | Robert Cameron Browney | Chiropractor | 41 N Merrimon Ave Unit 111, Woodfin, NC 28804-1364 | 2020-09-03 |
| 1467066076 | Christopher Mckechnie | Chiropractor | 827 Heart Wood Loop Rd Ne, Leland, NC 28451-9419 | 2020-09-01 |
| 1548873706 | Hunter Samuel Buckley | Chiropractor | 8928 Us 70 Bus Hwy W Ste 700, Clayton, NC 27520-4847 | 2020-08-27 |
| Find all providers with the same taxonomy | ||||
| City | OCEAN ISLE BEACH |
| Zip Code | 28469 |
Please comment or provide details below to improve the information on DR. JENNIFER L DELUCA-STAFFORD.
| 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.