MISS ERICA OWEN JERNIGAN (NPI# 1508059445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508059445 |
| Entity Type | Individual |
| Full Name | MISS ERICA OWEN JERNIGAN |
| Credential | MA, LPC |
| Practice Address |
305 N State St Yadkinville NC 27055-5245 |
| Mailing Address |
430 S Cliffdale Dr Winston Salem NC 27104-3808 |
| Practice Telephone | 3366798921 |
| Mailing Telephone | 3366597784 |
| Mailing Fax Number | 3366792909 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
4132 | NC | Behavioral Health & Social Service Providers |
| Street Address |
305 N STATE ST |
| City | YADKINVILLE |
| State | NC |
| Zip Code | 27055-5245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972011484 | Children's Center of Surry, Inc. | Community/Behavioral Health | 117 S Jackson St, Yadkinville, NC 27055 | 2018-01-18 |
| 1548651128 | Express Care of Yadkin LLC | Nurse Practitioner | 755 South State Street, Yadkinville, NC 27055 | 2015-02-18 |
| 1437579331 | Sarah Noe | Nurse Practitioner | 129 W Main Street, Yadkinville, NC 27055 | 2014-04-18 |
| 1306284674 | Legacy | Nursing Facility/Intermediate Care Facility | 903 W Main Street, Yadkinville, NC 27055 | 2013-06-10 |
| 1730433731 | Healthstat- Unifi Yadkinville Plant 5 | Preventive Medicine | 1032 Unifi Industrial Rd., Yadkinville, NC 27055 | 2012-10-30 |
| 1891012126 | The Center-a Strategic Interventions Facility | Community/Behavioral Health | 1012 Glenway Dr, Yadkinville, NC 27055 | 2010-04-27 |
| 1316152143 | Yadkin County Council On Aging, Inc. | Health Maintenance Organization | 108 E Elm Steet, Yadkinville, NC 27055 | 2007-05-14 |
| 1063633741 | Susan L Sawyers | Counselor | Hoots Memorial Hospital, 624 W. Main Street, Yadkinville, NC 27055 | 2007-05-01 |
| 1912026576 | Yadkin County Dss | Case Management | 205 E. Main St, Yadkinville, NC 27055 | 2007-03-28 |
| 1992824429 | Health Services Unlimited Inc. | Home Health | 105 S Jackson St, Yadkinville, NC 27055 | 2007-03-28 |
| Find all providers in zip 27055 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053888313 | Kristine B Keith | Counselor | 133 Ne 32nd St, Oak Island, NC 28465-5922 | 2018-10-25 |
| 1003329194 | Gabriel Rosenboro | Counselor | 4400 Old Poole Rd, Raleigh, NC 27610-3033 | 2017-11-10 |
| 1740732866 | Aleya Karenton Willis | Counselor | 10410 Grand Fir Rd, Charlotte, NC 28227-3691 | 2016-10-25 |
| 1972913358 | Add Flavour | Counselor | 1710 Michigan Cir, Lumberton, NC 28358-7129 | 2014-05-06 |
| 1013351071 | Cynthia Gaie | Counselor | 601 Friendway Rd, Apt 1j, Greensboro, NC 27410-6400 | 2013-04-22 |
| 1982953436 | Healing Hope Habilitation Services | Counselor | 5109 New Moon Dr, Fayetteville, NC 28306-3515 | 2012-08-30 |
| 1033478805 | Julie Lynn Callahan | Counselor | 120 Ludlow Street, Albemarle, NC 28001 | 2012-05-14 |
| 1033430608 | Norma Totten Lee | Counselor | 274 Oakwood Drive, Oakwood Elementary School, Yanceyville, NC 27379-0640 | 2010-06-18 |
| 1275854267 | Kelley Perkins Peacock | Counselor | 553 Weyburn Dr Nw, Concord, NC 28027-3414 | 2010-06-14 |
| 1124348040 | Sara Jane Ross | Counselor | 306 S. Horton St., Hamilton, NC 27840-0250 | 2010-06-02 |
| Find all providers with the same taxonomy | ||||
| City | YADKINVILLE |
| Zip Code | 27055 |
Please comment or provide details below to improve the information on MISS ERICA OWEN JERNIGAN.
| 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.