MICHELLE JORDON WATERS (NPI# 1285267369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285267369 |
| Entity Type | Individual |
| Full Name | MICHELLE JORDON WATERS |
| Credential | FNP-BC |
| Practice Address |
329 N State of Franklin Rd Johnson City TN 37604-6062 |
| Practice Telephone | 4239794100 |
| Mailing Telephone | 4239794100 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
27008 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881710630 | Michelle Waters | Physical Therapist | 7 Scott Ave., York, ME 03909 | 2007-03-22 |
| 1558924746 | Michelle Mary Waters | Nurse Practitioner | 3723 W 12600 S, Riverton, UT 84065-7295 | 2019-04-15 |
| 1023580743 | Michelle L Waters | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2018-12-19 |
| 1376091165 | Michelle Nichole Waters | Nurse Practitioner | 2377 Dunn Ave, Jacksonville, FL 32218-6983 | 2016-09-21 |
| 1639555949 | Michelle Waters | Nurse Practitioner | 6567 E Carondelet Dr Ste 215, Tucson, AZ 85710-6154 | 2015-08-10 |
| 1770926008 | Michelle Waters | Specialist | 155 1st Ave, Cochran, GA 31014-5740 | 2013-04-17 |
| 1679704571 | Michelle Waters | Marriage & Family Therapist | 1412 17th St, Bakersfield, CA 93301-5211 | 2009-07-27 |
| 1013015734 | Michelle L Waters | Pharmacist | 100 Park St, Glens Falls, NY 12801-4413 | 2006-09-20 |
| Street Address |
329 N STATE OF FRANKLIN RD |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013900042 | Susan D Fields | Social Worker | 329 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2005-08-24 |
| 1740719848 | Rekha Kadam | Registered Nurse | 329 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2017-06-12 |
| 1992244115 | Victoria A Pritchett | Nurse Practitioner | 329 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2017-02-21 |
| 1912325242 | Manar H Jbara | Internal Medicine | 329 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2014-04-03 |
| 1609145622 | Medical Education Assistance Corporation | Dermatology | 329 N State of Franklin Rd, Johnson City, TN 37604 | 2011-12-20 |
| 1902136914 | Muralidhar Reddy Papireddy | Internal Medicine | 329 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2010-01-14 |
| 1760670855 | Kais A Balbissi | Internal Medicine | 329 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2007-10-15 |
| 1780872358 | Lamis Wahid Ibrahim | Internal Medicine | 329 N State of Franklin Rd, Johnson City, TN 37604 | 2007-10-09 |
| 1336337195 | Timir Kumar Paul | Internal Medicine | 329 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2007-10-05 |
| 1679604268 | Donna L Mounts | Nurse Practitioner | 329 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025724 | Victoria Elizabeth Mcmanus | Nurse Practitioner | 365 Harry L Dr Ste 110, Johnson City, NY 13790-1471 | 2020-08-24 |
| 1649880139 | Amanda Danielle Ledford | Nurse Practitioner | 3 Enfield Ct, Johnson City, TN 37604-9101 | 2020-08-09 |
| 1861000135 | Deborah L Johnson | Nurse Practitioner | 2 Mcgregor Pl, Johnson City, TN 37604-1454 | 2020-07-22 |
| 1255978417 | William Mcguire | Nurse Practitioner | 176 Willocks Rd, Johnson City, TN 37601-6274 | 2019-12-06 |
| 1881248664 | Caiti Riden | Nurse Practitioner | 316 Marketplace Dr Ste 10, Johnson City, TN 37604-2595 | 2019-07-30 |
| 1699330282 | Courtney S Willis | Nurse Practitioner | 2203 N Greenwood Dr, Johnson City, TN 37604-7030 | 2019-05-08 |
| 1861955452 | Cindy Canter | Nurse Practitioner | 3552 Greenwood Dr, Johnson City, TN 37604-2834 | 2019-04-10 |
| 1366908980 | Holly Anne Parvin | Nurse Practitioner | 3209 W Walnut St, Johnson City, TN 37604-5949 | 2019-02-19 |
| 1891261376 | Lindsey Toney | Nurse Practitioner | 980 Smalling Rd, Johnson City, TN 37601-8208 | 2018-10-22 |
| 1821572868 | Karyn Kimberly Bruton | Nurse Practitioner | 1723 N Roan St, Johnson City, TN 37601-3949 | 2018-09-15 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on MICHELLE JORDON WATERS.
| 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.