JENAE STILES (NPI# 1235650797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235650797 |
| Entity Type | Individual |
| Full Name | JENAE STILES |
| Credential | OD |
| Practice Address |
4430 Missouri Avenue Fort Leonard Wood Optometry Fort Leonard Wood MO 65473 |
| Mailing Address |
200 Caroline Ave Curwensville PA 16833-6838 |
| Practice Telephone | 5735960048 |
| Mailing Telephone | 8145532350 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | OEG003283 | PA | Other Service Providers |
| Street Address |
4430 MISSOURI AVENUE FORT LEONARD WOOD OPTOMETRY |
| City | FORT LEONARD WOOD |
| State | MO |
| Zip Code | 65473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235296112 | Angela Renee Diebal-lee | Physical Therapist | 4430 Missouri Avenue, General Leonard Wood Army Community Hospital, Fort Leonard Wood, MO 65473 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192759 | Clara Boo Chai | Physician Assistant | General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 | 2020-07-27 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1083133771 | Mary Joan Klemp | Family Medicine | Ganeral Leonard Wood Army Community Hospital, 4430 Missouri Ave; Meddac Case Management; Primary Care, Fort Leonard Wood, MO 65473 | 2017-09-13 |
| 1255791851 | Sarah Elizabeth Joy | Physician Assistant | 885 West 16th Street, Fort Leonard Wood, MO 65473 | 2016-02-25 |
| 1548626948 | Jaimie-lee Musen | Physical Therapist | 4430 Missouri Ave, Glwach, Fort Leonard Wood, MO 65473 | 2016-01-14 |
| 1609240852 | Angela Carson | Registered Nurse | 4330 Missouri Avenue, Fort Leonard Wood, MO 65473 | 2015-11-25 |
| 1811379407 | Katharine Leigh Stringer | Dentist | 12720 Kansas Avenue, Fort Leonard Wood, MO 65473 | 2015-06-19 |
| 1548656044 | General Leonard Wood Army Community Hospital | Clinic/Center | 12720 Kansas Ave, Bldg 789, Fort Leonard Wood, MO 65473 | 2015-04-10 |
| 1740670314 | Terricka Stewart | Specialist/Technologist | 885 West 16th St., Fort Leonard Wood, MO 65473 | 2015-02-03 |
| 1427467265 | Dianna Morrison | Social Worker | 4430 Missouri Ave Box 1278, Fort Leonard Wood, MO 65473 | 2014-08-06 |
| Find all providers in zip 65473 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511593 | Kay Lynn Brunt | Military Health Care Provider | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073641650 | Hugh Mestres | Military Health Care Provider | 1038 Arbor Pointe Dr, Manchester, MO 63088-1458 | 2007-03-02 |
| 1487092797 | Brent Daniel Forrest | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2013-06-08 |
| 1780956086 | Gabe Fuller | Military Health Care Provider | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2012-02-01 |
| 1750427761 | Sonny Ezebulunwor Ideozu | Military Health Care Provider | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2007-01-29 |
| City | FORT LEONARD WOOD |
| Zip Code | 65473 |
Please comment or provide details below to improve the information on JENAE STILES.
| 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.