MRS. JENNIFER P DEESE (NPI# 1346549854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346549854 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER P DEESE |
| Credential | CPNP |
| Practice Address |
1994 Wellness Blvd Suite 110 Monroe NC 28110-7768 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043848460 |
| Practice Fax Number | 7043848465 |
| Mailing Telephone | 7043848460 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 5006260 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
157484 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043415730 | Jennifer Deese | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2007-06-20 |
| Street Address |
1994 WELLNESS BLVD SUITE 110 |
| City | MONROE |
| State | NC |
| Zip Code | 28110-7768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619966298 | George P Thevaos | Pediatrics | 1994 Wellness Blvd, Suite 110, Monroe, NC 28110-7767 | 2005-10-17 |
| 1023062452 | Novant Medical Group, Inc. | Pediatrics | 1994 Wellness Blvd, Suite 110, Monroe, NC 28110-7768 | 2006-05-20 |
| 1033174206 | Kelli P Duncan | Physician Assistant | 1994 Wellness Blvd, Suite 110, Monroe, NC 28110-7767 | 2006-04-19 |
| 1841252970 | Lori M Yanchik | Pediatrics | 1994 Wellness Blvd, Suite 110, Monroe, NC 28110-7767 | 2006-04-04 |
| 1528020948 | Deborah Queen | Pediatrics | 1994 Wellness Blvd, Suite 110, Monroe, NC 28110-7767 | 2006-04-03 |
| 1376532960 | Garnet D Maharajh | Pediatrics | 1994 Wellness Blvd, Suite 110, Monroe, NC 28110-7767 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1366922353 | First Choice Supply, Inc | Clinic/Center | 2909 Waycross Dr, Monroe, NC 28110 | 2018-08-19 |
| 1235616491 | Joshua Gibbons | Physical Therapist | 1999 Wellness Blvd., Suite 220, Monroe, NC 28110 | 2018-07-20 |
| 1508356940 | Latoya I Sheppard | Prosthetist | 1643 Hilton Meadow Dr, Monroe, NC 28110 | 2018-05-11 |
| 1598266546 | Healthstat Onsite Clinic Conmet Monroe 1 | Preventive Medicine | 780 Patterson Avenue, Monroe, NC 28110 | 2018-02-26 |
| 1801397864 | Healthstat Onsite Con Met Monroe 2 | Preventive Medicine | 4515 Corporate Center Drive, Monroe, NC 28110 | 2018-02-26 |
| 1366969834 | Megan Thomas | Nurse Practitioner | 5708 Concord Hwy, Monroe, NC 28110 | 2017-08-25 |
| 1619385168 | Dillon Byrum | Specialist/Technologist | 28110 Eagle View Lane, Monroe, NC 28110 | 2014-07-29 |
| 1932545266 | Shane Markey | Dentist | 2258 W. Roosevelt Blvd, Suite A Dentistry of The Carolinas, Monroe, NC 28110 | 2013-05-14 |
| 1952648644 | Rolanda Johnson Abney | Social Worker | 2661 W Roosevelt Blvd Ste 107, Monroe, NC 28110 | 2013-01-15 |
| Find all providers in zip 28110 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1992367833 | Mallory Middleton | Nurse Practitioner | 920 Oliver Rd, Monroe, LA 71201-5702 | 2019-07-01 |
| 1760950125 | Amanda Nederlof | Nurse Practitioner | 401 Monroe Tpke, Monroe, CT 06468-2276 | 2018-11-05 |
| 1629592209 | Gretchen Carlin | Nurse Practitioner | 401 Monroe Tpke Ste 16, Monroe, CT 06468-2278 | 2017-07-26 |
| 1619345360 | Lori Allen Sadler | Nurse Practitioner | 517 Great Oaks Dr, Suite #103, Monroe, GA 30655-8211 | 2015-09-11 |
| 1407239395 | Krystal Amber Yount | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2015-07-09 |
| 1851778765 | Melissa Varrone | Nurse Practitioner | 49 Forest Rd, Monroe, NY 10950-2923 | 2015-04-29 |
| 1154716736 | Emma Mean | Nurse Practitioner | 1653 Campus Park Dr, Suite A, Monroe, NC 28112-4005 | 2015-04-01 |
| 1326478447 | Nadia Marie Allen | Nurse Practitioner | 718 N Macomb St, Monroe, MI 48162-7815 | 2013-11-27 |
| 1144652181 | Joanie Lynn Graves | Nurse Practitioner | 2915 Betin Ave, Monroe, LA 71201-7257 | 2013-08-01 |
| Find all providers in MONROE | ||||
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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.