JESSAMY JAE THORNTON (NPI# 1134402662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134402662 |
| Entity Type | Individual |
| Full Name | JESSAMY JAE THORNTON |
| Other Name | JESSAMY JAE STENGLE |
| Credential | D.D.S. |
| Practice Address |
340 Boatner Rd, Bldg 2751 Eglin Afb FL 32542 |
| Mailing Address |
1821 Shay Lin Ct Niceville FL 32578-4530 |
| Practice Telephone | 8508838054 |
| Mailing Telephone | 4023269302 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
340 BOATNER RD, BLDG 2751 |
| City | EGLIN AFB |
| State | FL |
| Zip Code | 32542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440306 | Colt Sicher | Student in an Organized Health Care Education/Training Program | 96th Dental Squadron (afmc), Eglin Afb, Fl 32542, Apo, AA 32542 | 2018-06-14 |
| 1841679529 | Matthew Scurria | Dentist | 340 Boatner Rd. Bldg 2751, 96 Dental Squadron/sgdr, Eglin Afb, FL 32542 | 2015-05-27 |
| 1134518798 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 3120 A. Talon Way, Eglin Afb Fld #3, FL 32542 | 2015-01-20 |
| 1598177123 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 96 Medical Group Satellite Phcy Memorial Trail, Bldg. 1758, Eglin Afb, FL 32542 | 2014-06-02 |
| 1548602923 | Gerald Jordan Novack | Psychologist | 96mdos/sgow, 307 Boatner Rd, Fpo, AP 32542 | 2013-07-25 |
| 1699112821 | Taylor Anne Hahn | Obstetrics & Gynecology | 96th Medical Group, 307 Boatner Road, Eglin Air Force Base, FL 32542 | 2013-05-29 |
| 1730456948 | Nicholas Brandon Sager | Dentist | 340 Boatner Rd, Eglin Afb, Apo, AA 32542 | 2011-11-17 |
| 1346523974 | Mary Elizabeth Sorrentino | Dentist | 340 Boatner Road, Blgd. 2751, Eglin Afb, FL 32542 | 2011-09-20 |
| 1588945612 | Martin Army Community Hospital | Clinic/Center | 4327 North El Salvador Way, Eglin Afb, FL 32542 | 2011-09-02 |
| 1144516287 | Russell David Bienias | Dentist | 96th Dental Squadron (afmc), Eglin Afb, FL 32542 | 2011-06-28 |
| Find all providers in zip 32542 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295364735 | Ashley Nicole Kilby | Student in an Organized Health Care Education/Training Program | 350 Boatner Rd Bldg 2751, Eglin Afb, FL 32542-1391 | 2020-04-06 |
| 1063075414 | Christopher Lillenberg | Student in an Organized Health Care Education/Training Program | 350 Boatner Rd, Eglin Afb, FL 32542-1391 | 2019-04-20 |
| 1992327779 | Janel Montfort-tunstall | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-05-14 |
| 1366064396 | Ishan Chopra | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-05-13 |
| 1396367389 | Matthew Christopher Little | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-05-12 |
| 1538781513 | Danielle Marie Wilkin | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-05-12 |
| 1871112979 | Miguel Guzman Jr. | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd Bldg 2751, Eglin Afb, FL 32542-1391 | 2020-04-09 |
| 1407484561 | Jenna Garvin | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd Bldg 2751, Eglin Afb, FL 32542-1391 | 2020-04-01 |
| 1750917597 | Kyle Olsen | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-03-12 |
| 1750916961 | Joseph Roland Adamson | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-03-08 |
| Find all providers in EGLIN AFB | ||||
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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.