JENNIFER MENTORE


Address: 24 Gloucester Rd, Stuarts Draft, VA 24477-3321
Phone: 5403373710

JENNIFER MENTORE (NPI# 1205190089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205190089
Entity Type Individual
Full Name JENNIFER MENTORE
Credential NP
Practice Address 24 Gloucester Rd
Stuarts Draft
VA 24477-3321
Mailing Address Po Box 9007
Charlottesville
VA 22906-9007
Practice Telephone 5403373710
Practice Fax Number 5403370930
Enumeration Date 2012-06-27
Last Update Date 2013-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024169478 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 24 GLOUCESTER RD
City STUARTS DRAFT
State VA
Zip Code 24477-3321

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346278611 George P. Damewood Iv Family Medicine 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 2006-06-28
1811512841 Christopher Caleb Helsley Nurse Practitioner 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 2020-06-16
1669023107 Erika Zantzinger Nurse Practitioner 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 2019-09-26
1750939641 Renee Davis Physician Assistant 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 2019-09-03
1164083929 Judith Jackelyn Faria Briceno Family Medicine 24 Gloucester Rd, Stuarts Draft, VA 24477 2019-06-24
1760866040 Mallory E Fox Nurse Practitioner 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 2015-07-16
1104265354 Lori Jan Gonzalez Nurse Practitioner 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 2013-06-20
1801186481 Kerry C. Lanigan Internal Medicine 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 2011-04-15
1770889065 April L. Pierce Nurse Practitioner 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 2011-02-03
1487729448 Kathryn A Kahler Nurse Practitioner 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 2006-11-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881104701 Family Preservation Services, Inc Community/Behavioral Health 63 State Route 9030, Stuarts Draft, VA 24477 2017-10-05
1700165677 Megan Renee Campbell Yost Pharmacist 2929 Stuarts Draft Highway, Suite 101, Stuarts Draft, VA 24477 2011-08-10
1225242175 Marla Jean Robbins Midwife, Lay 181 Offliter Rd, Stuarts Draft, VA 24477 2007-05-10
1447270616 Dennis L. Hatter Family Medicine 24 Gloucester Road, Uva Stuarts Draft Family Practice, Stuarts Draft, VA 24477 2006-07-20
1588684666 Richard B. Miller Family Medicine Uva Stuarts Draft Family Practice, 24 Gloucester Road, Stuarts Draft, VA 24477 2006-07-20
1023292273 Dana Leigh Mcclanahan Nurse Practitioner 272 Patton Farm Rd, Stuarts Draft, VA 24477 2007-12-24
1447272968 John W. Forbes Family Medicine Uva Stuarts Draft Family Practice, 24 Gloucester Road, Stuarts Draft, VA 24477 2006-07-24
1134149206 Samuel A. Hostetter Family Medicine Uva Stuarts Draft Family Practice, 24 Gloucester Road, Stuarts Draft, VA 24477 2006-07-20
1770503922 David Joel Clevenson Family Medicine 24 Gloucester Road, Uva Stuarts Draft Family Practice, Stuarts Draft, VA 24477 2006-07-20
1922028430 Rosella O. Burgdorf Family Medicine 24 Gloucester Road, Uva Stuarts Draft Family Practice, Stuarts Draft, VA 24477 2006-07-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124013743 William Neal Jackson Nurse Practitioner 272 Patton Farm Rd, Stuarts Draft, VA 24477-2610 2005-09-20
1669023107 Erika Zantzinger Nurse Practitioner 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 2019-09-26
1760866040 Mallory E Fox Nurse Practitioner 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 2015-07-16
1104265354 Lori Jan Gonzalez Nurse Practitioner 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 2013-06-20
1770889065 April L. Pierce Nurse Practitioner 24 Gloucester Rd, Stuarts Draft, VA 24477-3321 2011-02-03
1023292273 Dana Leigh Mcclanahan Nurse Practitioner 272 Patton Farm Rd, Stuarts Draft, VA 24477 2007-12-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518568328 Lindsey Faulkner Nurse Practitioner 32 2nd Ave, Kilmarnock, VA 22482-9571 2020-11-06
1275134694 Samantha Bonita Wilkins-copeland Nurse Practitioner 600 Reusens Rd Apt L129, Lynchburg, VA 24503-1270 2020-11-03
1427659010 Angela Marie Baker Nurse Practitioner 12631 Harrowgate Rd, Chester, VA 23831-4808 2020-11-02
1225638026 Prasanti Pinnamaraju Nurse Practitioner 5324 Fox Ridge Rd, Roanoke, VA 24018-8754 2020-10-29
1881294783 Amy K Volk Nurse Practitioner 272 Bendix Rd Ste 100, Virginia Beach, VA 23452-1380 2020-10-29
1932708971 Kenjilyn Saldua Uchida Nurse Practitioner 8006 Hampton Glen Mews, Chesterfield, VA 23832-2003 2020-10-21
1245839497 Abdul Malike Nurse Practitioner 8010 George Fox Pl, Lorton, VA 22079-2347 2020-10-20
1316546740 Kristen Avery Weaver Nurse Practitioner 322 High St, Dayton, VA 22821-9548 2020-10-17
1619575016 Lauren Marie Rayburn Nurse Practitioner 21021 Sycolin Rd, Ashburn, VA 20147-4097 2020-10-16
1366041790 Stephanie Ferber Nurse Practitioner 8081 Innovation Park Dr Fl 7, Fairfax, VA 22031-4867 2020-10-16
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Competitor

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City STUARTS DRAFT
Zip Code 24477

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Dataset Information

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.

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