JENIECE N GULLEY (NPI# 1316251317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316251317 |
| Entity Type | Individual |
| Full Name | JENIECE N GULLEY |
| Other Name | JENIECE N ALLIMAN |
| Credential | PA-C |
| Practice Address |
3458 Neely Rd Jb Mdl NJ 08641-5312 |
| Mailing Address |
10800 Knights Rd Philadelphia PA 19114-4200 |
| Practice Telephone | 6097549080 |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2018-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA054416 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3458 NEELY RD |
| City | JB MDL |
| State | NJ |
| Zip Code | 08641-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477085009 | Rachel Posner Lemay | Psychologist | 3458 Neely Rd, Jb Mdl, NJ 08641-5312 | 2017-04-02 |
| 1982147674 | Kelsiann Echavaria | Military Health Care Provider | 3458 Neely Rd, Jb Mdl, NJ 08641-5312 | 2016-11-29 |
| 1043678410 | Crystal Kellert | Social Worker | 3458 Neely Rd, Jb Mdl, NJ 08641-5312 | 2016-02-01 |
| 1356734891 | Melanie Wilson | Psychologist | 3458 Neely Rd, Jb Mdl, NJ 08641-5312 | 2015-03-09 |
| 1033507959 | Daniel Michael Nozza Sr. | Chiropractor | 3458 Neely Rd, Jb Mdl, NJ 08641-5312 | 2014-12-30 |
| 1548670615 | Jessica Robbins | Physician Assistant | 3458 Neely Rd, Jb Mdl, NJ 08641-5312 | 2014-04-29 |
| 1326467838 | Abigail Smith | Pediatrics | 3458 Neely Rd, Jb Mdl, NJ 08641-5312 | 2014-04-11 |
| 1518206572 | Lisa Marie Bowling | Nurse Practitioner | 3458 Neely Rd, Jb Mdl, NJ 08641-5312 | 2013-02-11 |
| 1639425440 | Jacqueline Marie Armendinger | Physical Therapist | 3458 Neely Rd, Jb Mdl, NJ 08641-5312 | 2012-07-30 |
| 1528324449 | Marita Zguri | Dentist | 3458 Neely Rd, Jb Mdl, NJ 08641 | 2012-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497108856 | Prince Philip | Internal Medicine | Jbmdl, 3458 Neely Road, Apo, AA 08641 | 2016-07-20 |
| 1932517851 | Brittany Russell | Counselor | 3458 Neeley Rd, Jb Mcguire-dix-lakehurst, Wrightstown, NJ 08641 | 2014-07-23 |
| 1306263108 | Jamal Hogan Sr. | Military Health Care Provider | 3322 Charles Blvd, 108th Crg, Mcguire Afb, NJ 08641 | 2014-03-19 |
| 1659505030 | Kimberley Dawn Bock Tabor | Military Health Care Provider | 3453 Neely Rd, Mcguire Afb, NJ 08641 | 2009-05-13 |
| 1780835686 | Jeffrey Matthew Butch | Nurse Practitioner | 87th Medical Group, 3458 Neely Road, Jbmdl, NJ 08641 | 2008-10-09 |
| 1376736041 | Jennifer Bench | Dental Hygienist | 305th Dental Squadron, Bldg. 2417 Mcguire Blvd., Mcguire Afb, NJ 08641 | 2007-08-24 |
| 1447383765 | Nikolay Sky | Dentist | Mcguire Air Force Base, New Hanover, NJ 08641 | 2007-03-14 |
| 1003995085 | Kevin Hale Black | Dentist | 205th Dental Squadron, Bldg 2417, Mcguire Blvd, Mcguire Afb, NJ 08641 | 2006-11-02 |
| 1336234285 | Barbara D Broadt | Dietitian, Registered | 305 Medical Group 3458 Neely Road, Mcguire Afb, NJ 08641 | 2006-10-04 |
| 1649378043 | Judith Anne Frankel | Psychologist | 3458 Neely Rd., 305th Medical Group/sgomh, Mcguire Afb, NJ 08641 | 2006-09-20 |
| Find all providers in zip 08641 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548670615 | Jessica Robbins | Physician Assistant | 3458 Neely Rd, Jb Mdl, NJ 08641-5312 | 2014-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1427660810 | Lauren Colacicco | Physician Assistant | 406 Nj-23 North, Franklin, NJ 07416 | 2020-08-18 |
| 1912525353 | Thy T Pham | Physician Assistant | 2 Capital Way Ste 407, Pennington, NJ 08534-2521 | 2020-07-13 |
| 1982226270 | Alexandra Bellisario | Physician Assistant | 7 Normandy Pl, Colts Neck, NJ 07722-1174 | 2020-05-11 |
| 1497394266 | Trevor Paul | Physician Assistant | 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 | 2019-12-27 |
| 1295371003 | Sujin Kim | Physician Assistant | 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 | 2019-11-27 |
| 1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1245871334 | Terrell Amanda Collins | Physician Assistant | 76 W Jimmie Leeds Rd Ste 201, Galloway, NJ 08205-9417 | 2019-10-01 |
| 1013561422 | Adrienne Lauren Rinaldi | Physician Assistant | 1400 State Highway 70, Relievus, Cherry Hill, NJ 08034-0000 | 2019-07-25 |
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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.