JENNIFER MARIE CONKLIN (NPI# 1376827121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376827121 |
| Entity Type | Individual |
| Full Name | JENNIFER MARIE CONKLIN |
| Credential | NP |
| Practice Address |
5400 Cornerstone North Blvd Centerville OH 45440-2273 |
| Practice Telephone | 9375287070 |
| Practice Fax Number | 9375287071 |
| Mailing Telephone | 9375287070 |
| Mailing Fax Number | 9375287071 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN.300648 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023473451 | Jennifer Conklin | Occupational Therapy Assistant | 12011 28th Ave, Flushing, NY 11354-1071 | 2015-12-30 |
| 1174874010 | Jennifer L. Conklin | Specialist | 535 Erie St, Lancaster, NY 14086-9506 | 2012-10-01 |
| 1700089976 | Jennifer Lyn Conklin | Occupational Therapist | 2400 Columbia Rd, Medina, OH 44256-9414 | 2007-06-06 |
| Street Address |
5400 CORNERSTONE NORTH BLVD |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45440-2273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295243442 | Heather Nicole Stewart | Nurse Practitioner | 5400 Cornerstone North Blvd, Centerville, OH 45440-2273 | 2018-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1659902153 | Caryn Hoffman | Pharmacist | 5400 Cornerstone Blvd, Centerville, OH 45440 | 2020-02-03 |
| 1023673100 | Katren Elizabeth Clark | Psychologist | 70 Birch Alley, Suite 240, Dayton, OH 45440 | 2019-05-05 |
| 1649784737 | Amy Lynn Winstead | Dietitian, Registered | 5721 Bigger Road, Kettering, OH 45440 | 2017-11-28 |
| 1104245455 | Aprscp, Inc. | Hearing Instrument Specialist | 3341 East Stroop Road, Kettering, OH 45440 | 2014-04-15 |
| 1457601858 | Victoria L Saylor | Pharmacy Technician | 4480 Indianripple Rd, Dayton, OH 45440 | 2012-09-12 |
| 1528368644 | Sara Jankowski | Art Therapist | 5178 Scarsdale Dr., Kettering, OH 45440 | 2010-10-22 |
| 1356651012 | Senior Options Group | Home Health | 4025 Marshall Road, Kettering, OH 45440 | 2010-10-15 |
| 1417106345 | Sheenu Goel | Dentist | 4235 Indian Ripple Rd., Suite 200a, Dayton, OH 45440 | 2008-09-16 |
| Find all providers in zip 45440 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750920617 | Heather Dalynn Ferguson | Nurse Practitioner | 1140 Charter Pl, Centerville, OH 45458-3943 | 2019-12-24 |
| 1831744341 | Lirong Zheng | Nurse Practitioner | 9432 Tahoe Dr, Centerville, OH 45458-3689 | 2019-08-02 |
| 1891278743 | Latonia Queen Howard | Nurse Practitioner | 804 Arbor Ln, Centerville, GA 31028 | 2018-09-06 |
| 1427539014 | Spencer Nicholaus Lowe | Nurse Practitioner | 576 Churchill Dr, Centerville, UT 84014-2614 | 2018-08-22 |
| 1538683727 | Kathleen Whelan | Nurse Practitioner | 6071 Far Hills Ave, Centerville, OH 45459-1923 | 2017-07-28 |
| 1629517727 | Annette Kathryn Hawthorn | Nurse Practitioner | 2591 Miamisburg Centerville Rd Ste 201, Centerville, OH 45459-3706 | 2017-02-22 |
| 1578012993 | Kendra Custer | Nurse Practitioner | 968 Great View Cir Apt D, D, Centerville, OH 45459-6053 | 2016-09-27 |
| 1235688755 | Justin Henne | Nurse Practitioner | 607 W Lassater, Centerville, TX 75833-1959 | 2016-09-26 |
| 1558726109 | Rebecca Schmid | Nurse Practitioner | 1518 Hwy 100, Centerville, TN 37033 | 2015-12-28 |
| 1053795757 | Emily Bush | Nurse Practitioner | 6520 Acro Ct, Centerville, OH 45459-2679 | 2015-07-13 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 45440 |
Please comment or provide details below to improve the information on JENNIFER MARIE CONKLIN.
| 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.