JESSICA GILLMAN (NPI# 1366960569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366960569 |
| Entity Type | Individual |
| Full Name | JESSICA GILLMAN |
| Credential | LPN |
| Practice Address |
3427 Melrose Rd Fayetteville NC 28304-1608 |
| Practice Telephone | 9108648739 |
| Mailing Telephone | 9108648739 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 85720 | NC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275829475 | Jessica Lynn Gillman | Emergency Medicine | 1144 N Road Streeat, Elizabeth City, NC 27909-0000 | 2011-06-26 |
| Street Address |
3427 MELROSE RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376680199 | Ats of North Carolina, LLC | Counselor | 3427 Melrose Rd, Fayetteville, NC 28304-1608 | 2007-01-31 |
| 1679171862 | Nuyka Nee | Counselor | 3427 Melrose Rd, Fayetteville, NC 28304-1608 | 2020-10-12 |
| 1316544091 | Erianka Morales | Licensed Practical Nurse | 3427 Melrose Rd, Fayetteville, NC 28304-1608 | 2020-10-06 |
| 1043825342 | Rebecca Spann | Licensed Practical Nurse | 3427 Melrose Rd, Fayetteville, NC 28304-1608 | 2020-09-14 |
| 1548871338 | Anthony Maurice Cogar | Counselor | 3427 Melrose Rd, Fayetteville, NC 28304-1608 | 2020-08-14 |
| 1770192650 | Peyton Niquiporo | Licensed Practical Nurse | 3427 Melrose Rd, Fayetteville, NC 28304-1608 | 2020-07-28 |
| 1841809860 | Chauncey Manique Tims | Counselor | 3427 Melrose Rd, Fayetteville, NC 28304-1608 | 2020-07-27 |
| 1619586633 | Richard Clement | Licensed Practical Nurse | 3427 Melrose Rd, Fayetteville, NC 28304-1608 | 2020-07-27 |
| 1164048765 | Jillian Marshall | Social Worker | 3427 Melrose Rd, Fayetteville, NC 28304-1608 | 2020-06-19 |
| 1164052064 | Stephanie Melissa Dixon | Counselor | 3427 Melrose Rd, Fayetteville, NC 28304-1608 | 2020-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629629993 | Sheena Epps | Licensed Practical Nurse | 637 John B Carter Rd, Fayetteville, NC 28312-7154 | 2019-09-26 |
| 1972158442 | Christina Lynn Evans | Licensed Practical Nurse | 388 Berlin Dr, Fayetteville, OH 45118-9429 | 2019-08-01 |
| 1346804036 | Toosdhi Marquette Mcdaniel-simmons | Licensed Practical Nurse | 3015 Amberjack Rd, Fayetteville, NC 28306-7989 | 2019-04-28 |
| 1417416017 | Sonja Nicole Leflore | Licensed Practical Nurse | 12335 Molly Sue Ln, Fayetteville, GA 30215-6630 | 2019-03-14 |
| 1114497393 | Leslie Annette Simmons | Licensed Practical Nurse | 500 Grouper Dr, Fayetteville, NC 28306-8453 | 2018-11-29 |
| 1154891679 | Faith Ursula Cowart | Licensed Practical Nurse | 415 Tradewinds Dr Apt G, Fayetteville, NC 28314-2454 | 2018-11-27 |
| 1689176307 | Isis Andrea Goodson | Licensed Practical Nurse | 1233 Mingary Ave, Fayetteville, NC 28306-3558 | 2018-03-08 |
| 1992257398 | Chanda Agee | Licensed Practical Nurse | 160 W Lake Dr, Fayetteville, GA 30214-3239 | 2016-11-01 |
| 1528410487 | Sharon Byrd | Licensed Practical Nurse | 17836 Harmon Rd, Fayetteville, AR 72704 | 2016-07-05 |
| 1073918025 | Valerie Davis Hunt | Licensed Practical Nurse | 195 Stillbrook Way, Fayetteville, GA 30214-5358 | 2014-11-01 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.