CHENELL DENISE WILLIAMS (NPI# 1538438254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538438254 |
| Entity Type | Individual |
| Full Name | CHENELL DENISE WILLIAMS |
| Practice Address |
308 Wilburn St Jonesboro GA 30236-3637 |
| Practice Telephone | 6785192707 |
| Practice Fax Number | 6785192707 |
| Mailing Telephone | 6785192707 |
| Mailing Fax Number | 6785192707 |
| Enumeration Date | 2011-12-26 |
| Last Update Date | 2011-12-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
308 WILBURN ST |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-3637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699227876 | Shirley Ann Morton | Specialist | 188 North Ave, Jonesboro, GA 30236-3215 | 2016-11-03 |
| 1306286323 | Eric Chandler Treadway | Specialist | 1699 Stadium Blvd, Suite H, Jonesboro, AR 72401 | 2013-07-05 |
| 1679819312 | Ethel L High | Specialist | 9285 Carnes Estates Dr, Jonesboro, GA 30236-6275 | 2012-12-28 |
| 1134406341 | Ashley Brooke Thrasher | Specialist | 2105 E Aggie Rd, Arkansas State University-hpess, Jonesboro, AR 72401 | 2011-11-16 |
| 1679856967 | Amy Forester | Specialist | 806 Glendale, Jonesboro, AR 72401 | 2011-09-22 |
| 1891000550 | Sunil Gera M.d.p.a. | Specialist | 2601 Southwest Sq, Jonesboro, AR 72401-5969 | 2010-08-18 |
| 1922338292 | Nataki Burke | Specialist | 10305 Misty Ridge Dr, Jonesboro, GA 30238-8027 | 2010-01-07 |
| 1215176466 | Visa Lahang Avance | Specialist | 1656 W Matthews Ave Apt 5, Jonesboro, AR 72401-3311 | 2009-02-11 |
| 1538297395 | Michael Devon Brown | Specialist | 1710 Battlecreek Village Dr, Jonesboro, GA 30236-8527 | 2007-03-01 |
| 1811055643 | David S Smith | Specialist | 1107 East Matthews, Suite 100, Jonesboro, AR 72401 | 2006-12-05 |
| Find all providers in JONESBORO | ||||
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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.