MRS. JANIELL LYNN JERNIGAN (NPI# 1184640476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184640476 |
| Entity Type | Individual |
| Full Name | MRS. JANIELL LYNN JERNIGAN |
| Credential | APRN, FNP, PMHNP |
| Practice Address |
4702 Wesley St Suite C Greenville TX 75401-5663 |
| Practice Telephone | 9034541700 |
| Practice Fax Number | 9034541701 |
| Mailing Telephone | 9034541700 |
| Mailing Fax Number | 9034541701 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
602542 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
602542 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2152720 | 05 |
| Street Address |
4702 WESLEY ST SUITE C |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-5663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073578035 | Paul M Lee | Psychiatry & Neurology | 4702 Wesley St, Suite C, Greenville, TX 75401-5663 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172502 | Luron M Fleming | Nurse Practitioner | 712 Arlington Ave, Greenville, SC 29601-3206 | 2020-04-08 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1043869118 | Anchored Wellness LLC | Nurse Practitioner | 128 Millport Cir Ste 200, Greenville, SC 29607-5573 | 2019-09-10 |
| 1861052979 | Susan Lally | Nurse Practitioner | 707 Wh Smith Blvd, Greenville, NC 27834-3752 | 2019-06-20 |
| 1891358867 | Christina L. Green, Pmhnp-bc, Pllc | Nurse Practitioner | 3101 Joe Ramsey Blvd E Ste 104, Greenville, TX 75401-7762 | 2019-04-16 |
| 1245791722 | William M Hendricks IIi | Nurse Practitioner | 565 Waterbrook Dr, Greenville, SC 29607-4878 | 2019-03-27 |
| 1538615265 | Stephanie Webb | Nurse Practitioner | 925 Conference Dr., Greenville, NC 27858 | 2016-09-01 |
| 1619321163 | Christina Leann Green | Nurse Practitioner | 4702 Wesley St Ste C, Greenville, TX 75401-5663 | 2016-04-21 |
| 1285966036 | Lavena S Wilkes | Nurse Practitioner | 222 Adley Way, Greenville, SC 29607 | 2010-02-04 |
| 1205917168 | Karen Diane Tipton | Nurse Practitioner | 97 Market Point Dr, #406, Greenville, SC 29607-4135 | 2006-10-18 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
Please comment or provide details below to improve the information on MRS. JANIELL LYNN JERNIGAN.
| 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.