MISS IVANNA PLYMOUTH


Address: 3400 Wake Forest Rd, Raleigh, NC 27609-7317
Phone: 9199543000

MISS IVANNA PLYMOUTH (NPI# 1083126379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083126379
Entity Type Individual
Full Name MISS IVANNA PLYMOUTH
Credential NP
Practice Address 3400 Wake Forest Rd
Raleigh
NC 27609-7317
Mailing Address 4001 Tilton Dr
Raleigh
NC 27616-6299
Practice Telephone 9199543000
Mailing Telephone 2522682608
Enumeration Date 2017-10-26
Last Update Date 2017-11-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
5010033 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3400 WAKE FOREST RD
City RALEIGH
State NC
Zip Code 27609-7317

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013916352 Duke University Health System Inc General Acute Care Hospital 3400 Wake Forest Rd, Raleigh, NC 27609-7317 2005-07-19
1023632742 Rebecca D Griffin Nurse Anesthetist, Certified Registered 3400 Wake Forest Rd, Raleigh, NC 27609-7317 2020-05-29
1013536366 Melaine Roushini Rajanayagam Nurse Practitioner 3400 Wake Forest Rd, Raleigh, NC 27609-7317 2020-04-15
1902435969 Corey Michael Grindo Nurse Practitioner 3400 Wake Forest Rd, Raleigh, NC 27609-7317 2020-04-02
1659906303 Nicholas P Glover Nurse Anesthetist, Certified Registered 3400 Wake Forest Rd, Raleigh, NC 27609-7317 2020-03-03
1982247292 Coral Elyse Stevens Hodges Neurological Surgery 3400 Wake Forest Rd, Raleigh, NC 27609-7317 2019-10-21
1205477676 Joana Lule Hospitalist 3400 Wake Forest Rd, Raleigh, NC 27609-7317 2019-10-07
1780235119 Melissa V Moreda Clinical Nurse Specialist 3400 Wake Forest Rd, Raleigh, NC 27609-7317 2019-09-26
1871159202 Lindsey Theresa Hanley Nurse Practitioner 3400 Wake Forest Rd, Raleigh, NC 27609-7317 2019-05-10
1538629829 Megan Childs Student in an Organized Health Care Education/Training Program 3400 Wake Forest Rd, Raleigh, NC 27609-7317 2019-03-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184235582 Choice Service Solutions LLC In Home Supportive Care 5300 Six Fox Rd Siite205, Raleigh, NC 27609 2020-08-11
1003426073 Rosana Oba -rovira Registered Nurse 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 2020-08-05
1821612706 Helen Alexandra Bonner Physical Medicine & Rehabilitation Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 2020-06-05
1215423579 Appiah Nana Larbi Social Worker Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 2018-07-10
1215423777 Broadway Home Care LLC In Home Supportive Care 107 Windel Dr Ste 105, Raleigh, NC 27609 2018-07-09
1275027948 Lacey Allene Cottingham Social Worker 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 2018-06-18
1447748819 Integrated Dermatology of North Raleigh, Pllc Dermatology 3809 Computer Dr Ste 200, Raleigh, NC 27609 2018-05-01
1902325418 Naomi Christine Askew Nurse Practitioner 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 2017-09-15
1962929679 Alexia Montague Social Worker 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 2017-08-23
1730602236 Chantel Washington-mbuthia Counselor 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 2017-07-18
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891346987 Dana Smith Nurse Practitioner 3480 Wake Forest Rd Ste 414, Raleigh, NC 27609-7376 2019-09-20
1558819516 Corilin Nocito Meggitt Nurse Practitioner 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 2016-09-19
1336701762 Bonnie Lauren Howard Parker Nurse Practitioner 3000 New Bern Ave Ste 1100, Raleigh, NC 27610-1231 2019-07-05
1265901425 John W Howell II Nurse Practitioner 3400 Wake Forest Rd, Raleigh, NC 27609-7317 2018-11-16
1922573823 Allyssa Blaire Newton Nurse Practitioner 4207 Lake Boone Trl Ste 220, Raleigh, NC 27607-6685 2018-10-06
1407364607 Nkechi Ajuonuma Nurse Practitioner 3400 Wake Forest Rd, Raleigh, NC 27609-7317 2018-01-22
1558871715 John Christopher Harville II Nurse Practitioner 2800 Blue Ridge Rd Ste 400, Raleigh, NC 27607 2017-10-02
1851800346 Robert John Wiltberger Nurse Practitioner 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2017-09-27
1700320595 Kathryn Star Salisbury Nurse Practitioner 2800 Blue Ridge Rd, Suite 400, Raleigh, NC 27607-6478 2016-12-13
1720538671 Jeremy Wininger Nurse Practitioner 3000 New Bern Ave, Raleigh, NC 27610 2016-10-04
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Competitor

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City RALEIGH
Zip Code 27609

Improve Information

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Dataset Information

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.

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