JESSICA LEE WERDEL (NPI# 1114290855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114290855 |
| Entity Type | Individual |
| Full Name | JESSICA LEE WERDEL |
| Credential | NP |
| Practice Address |
4420 Lake Boone Trl Raleigh NC 27607 |
| Mailing Address |
4420 Lake Boone Trl Raleigh NC 27607-7505 |
| Practice Telephone | 9197843100 |
| Mailing Telephone | 9197843100 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
5005444 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4207 Lake Boone Trl Ste 220, Raleigh, NC 276076685 | 9197841410 |
| Street Address |
4420 LAKE BOONE TRL |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035405 | Karen Kinney Schneider | Nurse Practitioner | 4420 Lake Boone Trl, Wound Healing Center, Raleigh, NC 27607-7505 | 2005-07-05 |
| 1700486685 | Cameron Blake Little | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-10-29 |
| 1942811278 | Whitney Dale Marks | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-08-11 |
| 1447869359 | Daneille Barbara Hamlin | Audiologist | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-07-27 |
| 1427675057 | Robert Brinson Mitchell IIi | Nurse Anesthetist, Certified Registered | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-06-30 |
| 1912523457 | Driss Zine | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-06-21 |
| 1619599081 | Kai Kang | Pharmacist | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-05-08 |
| 1487281671 | Allison Tharakan | Pharmacist | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-03-26 |
| 1598391435 | Gerald Shane Taylor | Registered Nurse | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-03-22 |
| 1982230140 | Catherine Parks Chantrill | Registered Nurse | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| 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 |
| 1083126379 | Ivanna Plymouth | Nurse Practitioner | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2017-10-26 |
| 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 |
| Find all providers in RALEIGH | ||||
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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.