MRS. JENNIFER LISA WOLVERTON-WADE (NPI# 1093064685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093064685 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LISA WOLVERTON-WADE |
| Credential | RN, CWCN |
| Practice Address |
3000 41st St Marathon FL 33050 |
| Mailing Address |
210 Key Honey Lane Tavernier FL 33070 |
| Practice Telephone | 3054347660 |
| Mailing Telephone | 8603280013 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN9333023 | FL | Nursing Service Providers |
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN9333023 | FL | Nursing Service Providers |
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
RN9333023 | FL | Nursing Service Providers |
| Street Address |
3000 41ST ST |
| City | MARATHON |
| State | FL |
| Zip Code | 33050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518151489 | Kathleen Clark | Registered Nurse | 3000 41st St, Marathon, FL 33050 | 2007-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622297 | Donald C Smith Jr. | Pharmacist | 5271 Overseas Highway, Marathon, FL 33050 | 2020-09-03 |
| 1831702752 | Sheryl Schwab | Counselor | 1361 Overseas Highway, Unit Island N, Marathon, FL 33050 | 2020-08-29 |
| 1578114666 | Rita Gonzalez | Counselor | Guidance/care Center, Inc. Wellness Center, 3000 41st Street Ocean, Marathon, FL 33050 | 2019-09-20 |
| 1922505809 | Sandy Riegor Pt LLC | Physical Therapist | 304 Coco Plum Street, Marathon, FL 33050 | 2018-04-09 |
| 1104342252 | Trey Ilgen | Counselor | 3000 41st St., Ocean, Marathon, FL 33050 | 2017-08-21 |
| 1366890063 | Jodi Jamison | Registered Nurse | 3000 41st Street, Marathon, FL 33050 | 2016-06-03 |
| 1699153510 | Amy Michelle Gertz | Marriage & Family Therapist | 6799 Overseas Highway, Unit 7, Marathon, FL 33050 | 2015-05-12 |
| 1427467992 | Victor Boadi | Pharmacist | 10870 Overseas Highway, Walgreens Pharmacy, Marathon, FL 33050 | 2014-08-08 |
| 1881994242 | Lori M Denny | Registered Nurse | 5180 Overseas Hwy, Marathon, FL 33050 | 2010-11-01 |
| 1750614780 | Ewa Elzbieta Owens | Registered Nurse | 3000 41st St Ocean, Guidance Clinic of The Middle Keys, Marathon, FL 33050 | 2009-09-09 |
| Find all providers in zip 33050 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619226735 | Charlotte Regennas | Registered Nurse | 3000 41st Street Ocean, Marathon, FL 33050-2373 | 2012-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613506 | Achieve Psychiatric Wellness Center LLC | Registered Nurse | 1209 Wedgewood Rd, St Johns, FL 32259-9012 | 2020-06-09 |
| 1427618156 | Jinnail Monique Sessions-houston | Registered Nurse | 6204 Spring Lake Ter, Fort Pierce, FL 34951-3105 | 2019-06-14 |
| 1992363089 | Timothy Harold Johnson | Registered Nurse | 9209 Seminole Blvd Unit 209, Seminole, FL 33772-3142 | 2019-06-03 |
| 1194293779 | Eileen Luongo | Registered Nurse | 8300 Sw 44th Ct, Davie, FL 33328-2993 | 2018-11-13 |
| 1134632144 | Debra H Geotis | Registered Nurse | 2061 Se Pyramid Rd, Port St Lucie, FL 34952-5827 | 2017-11-13 |
| 1225426703 | Jessica Meyer | Registered Nurse | 3763 Evans Ave Fl 9302, Fort Myers, FL 33901-9302 | 2015-01-06 |
| 1295855724 | Marleen Kay Mcclatchy | Registered Nurse | 8090 Se River Ln, Stuart, FL 34997-7363 | 2007-03-29 |
| 1710086293 | Sharon Hart | Registered Nurse | 5067 Tamiami Trl E, Naples, FL 34113-4128 | 2006-09-21 |
| 1942202361 | Linda M Register | Registered Nurse | 3275 Nw 99th Way, Coral Springs, FL 33065-4024 | 2005-08-15 |
| 1760965438 | Andrea Nadine Munroe-service | Registered Nurse | 8395 W Oakland Park Blvd Ste C, Sunrise, FL 33351-7346 | 2018-09-10 |
| Find all providers with the same taxonomy | ||||
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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.