MR. JON ERIC CLENNEY (NPI# 1073838645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073838645 |
| Entity Type | Individual |
| Full Name | MR. JON ERIC CLENNEY |
| Other Name | MR. JON CLENNEY |
| Credential | LPN |
| Practice Address |
6391 Payne Rd Tobaccoville NC 27050-9646 |
| Practice Telephone | 3369835368 |
| Mailing Telephone | 3369835368 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 68908 | NC | Nursing Service Providers |
| Street Address |
6391 PAYNE RD |
| City | TOBACCOVILLE |
| State | NC |
| Zip Code | 27050-9646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982728184 | Pattie Burns Amundsen | Counselor | 6315 Tobaccoville Rd., Tobaccoville, NC 27050 | 2007-03-16 |
| 1336542133 | Chs North Carolina Medical, PC | General Practice | 7855 Doral Dr, Administrative Blvd 2nd Floor, Tobaccoville, NC 27050-9002 | 2014-10-07 |
| 1114378312 | Premise Health | Pharmacy | 7855 Doral Dr, Tobaccoville, NC 27050-9002 | 2016-06-29 |
| 1053705996 | John Elkins | Physical Therapy Assistant | 4041 Reid Rd, Tobaccoville, NC 27050-9527 | 2015-03-27 |
| 1114994142 | Stepehn Adrian Hubbard | Emergency Medicine | 6783 Rolling View Dr, Tobaccoville, NC 27050-9680 | 2006-03-08 |
| 1780092817 | Individual | Skilled Nursing Facility | 5311 Albany Cir, Tobaccoville, NC 27050-9723 | 2014-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290201 | Mh Medical Services, PC | Nurse Practitioner | 7201 Doral Drive, Tobaccoville, NC 24050 | 2019-11-27 |
| 1053705996 | John Elkins | Physical Therapy Assistant | 4041 Reid Rd, Tobaccoville, NC 27050-9527 | 2015-03-27 |
| 1336542133 | Chs North Carolina Medical, PC | General Practice | 7855 Doral Dr, Administrative Blvd 2nd Floor, Tobaccoville, NC 27050-9002 | 2014-10-07 |
| 1780092817 | Individual | Skilled Nursing Facility | 5311 Albany Cir, Tobaccoville, NC 27050-9723 | 2014-08-01 |
| 1982728184 | Pattie Burns Amundsen | Counselor | 6315 Tobaccoville Rd., Tobaccoville, NC 27050 | 2007-03-16 |
| 1114994142 | Stepehn Adrian Hubbard | Emergency Medicine | 6783 Rolling View Dr, Tobaccoville, NC 27050-9680 | 2006-03-08 |
| 1114378312 | Premise Health | Pharmacy | 7855 Doral Dr, Tobaccoville, NC 27050-9002 | 2016-06-29 |
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669611 | Rosheika Wilson | Licensed Practical Nurse | 114 Charter Oak Dr, Clayton, NC 27520-4905 | 2020-11-04 |
| 1194325746 | Koretta A King | Licensed Practical Nurse | 152 Queensberry Ct, Greensboro, NC 27405-4899 | 2020-10-31 |
| 1629678271 | Jennetta Shimell Moore | Licensed Practical Nurse | 3215 Old Vineyard Rd, Winston Salem, NC 27103-1411 | 2020-10-31 |
| 1548870215 | Melissa Jordan | Licensed Practical Nurse | 5106 Olde Forest Dr, Greensboro, NC 27406-8718 | 2020-08-06 |
| 1437767654 | Deshawna Mcclain | Licensed Practical Nurse | 334 Troy Lndg, Winston Salem, NC 27107-2678 | 2020-07-14 |
| 1629696711 | Latoniya Chevelle Ellison | Licensed Practical Nurse | 819 Da Vinci St, Durham, NC 27704-3341 | 2020-07-06 |
| 1720602808 | Nancy Parris | Licensed Practical Nurse | 1640 Hedingham Blvd Ste C, Raleigh, NC 27604-8313 | 2020-06-03 |
| 1669094009 | Sara Lynn Schwab | Licensed Practical Nurse | 3188 Chesswood Ln, Winterville, NC 28590-7992 | 2020-05-07 |
| 1134758832 | Michelle Robinson | Licensed Practical Nurse | 208 Valley View Ct, Creedmoor, NC 27522-7800 | 2020-04-04 |
| 1265066815 | Shaneka M Hurdle | Licensed Practical Nurse | 1011 Huffine Mill Rd, Greensboro, NC 27405-6239 | 2020-02-22 |
| Find all providers with the same taxonomy | ||||
| City | TOBACCOVILLE |
| Zip Code | 27050 |
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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.