JENNIFER LOUISE HENNICK (NPI# 1083929541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083929541 |
| Entity Type | Individual |
| Full Name | JENNIFER LOUISE HENNICK |
| Other Name | MS. JENNIFER L THROCKMORTON |
| Credential | FNP |
| Practice Address |
575 N Thompson Rd Tipton CA 93272-9756 |
| Practice Telephone | 5597524147 |
| Practice Fax Number | 5597524150 |
| Mailing Telephone | 5597524147 |
| Mailing Fax Number | 5597524150 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2011-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19991 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA # | MH2440220 | 01 |
| Street Address |
575 N THOMPSON RD |
| City | TIPTON |
| State | CA |
| Zip Code | 93272-9756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194865535 | Kristin Rene Brown | Nurse Practitioner | 575 N Thompson, Tipton, CA 93272 | 2007-02-07 |
| 1528072527 | Tipton Medical Clinic | Clinic/Center | 575 North Thompson Drive, Tipton, CA 93272 | 2006-07-28 |
| 1396738340 | Jason J Mccamey | Specialist/Technologist | 6560 E. Montecito Ave., Fresno, CA 93272 | 2005-08-24 |
| 1427332774 | Tipton Elementary School District | Local Education Agency (LEA) | 370 N Evans Rd, Tipton, CA 93272-9400 | 2011-10-05 |
| 1306906250 | Evelyn Wilkerson | Nurse Practitioner | Tipton Medical Clinic, 575 N Thompson Rd, Tipton, CA 93272-9756 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275802 | Holly Marie Jackson | Technician | 448 W Cooper St, Tipton, MO 65081-8217 | 2020-11-04 |
| 1992304836 | Oasis Recovery, LLC | Substance Abuse Rehabilitation Facility | 2155 N 100 E, Tipton, IN 46072-8490 | 2020-10-21 |
| 1770197907 | Sand Lake Volunteer Fire Department | Emergency Response System Companies | 1300 Michigan Ave, Tipton, MI 49287-9721 | 2020-09-04 |
| 1023620838 | Tipton Pharmacy | Pharmacy | 310 Us Highway 50 W, Tipton, MO 65081-8701 | 2020-08-21 |
| 1740802305 | Stephanie King Steffen | Nurse Practitioner | 905 Randall Rd, Tipton, IA 52772-9387 | 2020-05-17 |
| 1215493820 | Paige Lassen | Physical Therapist | 100 Alexander Dr Ste 4, Tipton, IA 52772-2304 | 2019-02-19 |
| 1386142016 | Kay Ann Johnson | Registered Nurse | 9991 Tipton Hwy, Tipton, MI 49287-8711 | 2018-01-29 |
| 1467967919 | Progressive Rehab Chiropractic, L.L.C. | Chiropractor | 100 Alexander Drive, Suite 3, Tipton, IA 52772 | 2017-12-06 |
| 1801260252 | Kimberley Luce | Case Manager/Care Coordinator | 8671 Carson Hwy, Tipton, MI 49287-9502 | 2015-11-23 |
| 1952795692 | Donna June Bell | Nurse Practitioner | 806 S Fork Ln, Tipton, MO 65081-4005 | 2015-03-19 |
| Find all providers in TIPTON | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740802305 | Stephanie King Steffen | Nurse Practitioner | 905 Randall Rd, Tipton, IA 52772-9387 | 2020-05-17 |
| 1366846453 | Amy Leigh Draper-poe | Nurse Practitioner | 1010 S. Main Street Suite 200, Tipton, IN 46072-9596 | 2014-10-17 |
| 1306906250 | Evelyn Wilkerson | Nurse Practitioner | Tipton Medical Clinic, 575 N Thompson Rd, Tipton, CA 93272-9756 | 2006-12-11 |
| 1598779266 | Nancy Anne Dantzler | Nurse Practitioner | 106 W. Main St, Tipton, OK 73570 | 2006-07-28 |
| 1558711465 | Kelcee Kae Jarrard | Nurse Practitioner | 56 Cedar St, Tipton, IA 52772-1705 | 2016-06-21 |
| 1063813178 | Deborah Davidson | Nurse Practitioner | 405 Fairgrounds Rd, Tipton, IN 46072-9596 | 2014-09-08 |
| 1326086752 | Christine M Hurt | Nurse Practitioner | 875 State Route 5, Tipton, MO 65081-8441 | 2006-06-04 |
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| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
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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.