JENNIE KAYE BOURNE (NPI# 1568457398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568457398 |
| Entity Type | Individual |
| Full Name | JENNIE KAYE BOURNE |
| Credential | MSN, RN, ARNP |
| Practice Address |
300 S 8th St Ste 401e Murray KY 42071 |
| Mailing Address |
300 S 8th St Ste 401e Murray KY 42071-2444 |
| Practice Telephone | 2707532444 |
| Practice Fax Number | 2707673644 |
| Mailing Telephone | 2707532444 |
| Mailing Fax Number | 2707673644 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
3005174 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100016740 | 05 | |
| KY | BC/BS | 000000535238 | 01 |
| KY | TAXONOMY | 363LA2200X | 01 |
| Street Address |
300 S 8TH ST STE 401E |
| City | MURRAY |
| State | KY |
| Zip Code | 42071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280661 | Cassandra Graben | Nurse Practitioner | 300 S 8th St Ste 401e, Murray, KY 42071-2444 | 2020-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989347 | Roy Berry Mckendree | Pharmacist | 208 N 12th, Murray, KY 42071 | 2019-12-20 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1205335346 | Elevation Dentistry Pllc | Dentist | 1710 Hwy 121 N. Byp. Ste A, Murray, KY 42071 | 2018-02-05 |
| 1114431715 | Devin Cassity | Specialist/Technologist | Roy Stewart Stadium Gibert Graves Drive, Murray, KY 42071 | 2017-11-20 |
| 1881146033 | Alliance Health Care, LLC | General Practice | 1710 D State Route 121 North, Murray, KY 42071 | 2016-11-03 |
| 1780039529 | Kelli Bathon | Developmental Therapist | 1988 Rowlett Trl, Murray, KY 42071 | 2016-04-29 |
| 1184060287 | William D Dewees | Veterinarian | Carman Pavilion/100 Aht Center/college Farm Road, Murray State University, Murray, KY 42071 | 2013-05-15 |
| 1467719674 | Anna Jayjock | Dentist | 700 Whitnell Avenue, Murray, KY 42071 | 2012-04-12 |
| 1629380704 | Michael James Bordieri | Psychologist | 401c Wells Hall, Murray State University, Murray, KY 42071 | 2010-07-06 |
| 1760706501 | Patrick William Thornton | Chiropractor | 408 South 12th Street, Murray, KY 42071 | 2010-03-23 |
| Find all providers in zip 42071 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609104553 | Denise Westover | Nurse Practitioner | 5169 S. Cottonwood St, Ste. 520, Murray, UT 84107 | 2009-12-03 |
| 1568976579 | Andrew James Aloia | Nurse Practitioner | 5131 S Cottonwood St, Murray, UT 84107-5701 | 2017-11-29 |
| 1184148447 | Karyn Peirce | Nurse Practitioner | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2017-07-28 |
| 1932513702 | Stephanie Nason | Nurse Practitioner | 1000 S 12th St, Murray, KY 42071-9303 | 2014-06-19 |
| 1700110103 | Kathleen Farrell | Nurse Practitioner | 1005 Poplar St, Murray, KY 42071-2436 | 2009-10-01 |
| 1356508857 | Kimberly Dawn Megwalu | Nurse Practitioner | 5250 S 320 W, Suite 305, Murray, UT 84107-7926 | 2008-05-21 |
| 1164698312 | Christopher Michael Poch | Nurse Practitioner | 5121 South Cottonwood Drive, Murray, UT 84157 | 2008-05-07 |
| 1992828958 | Kayleen Terry | Nurse Practitioner | 5323 Woodrow St, Ste 102, Murray, UT 84107-5841 | 2007-04-06 |
| 1801942255 | Virginia Grider | Nurse Practitioner | 310 N 4th St, Murray, KY 42071-2002 | 2007-01-26 |
| 1568538528 | Roberta Ann Lucas | Nurse Practitioner | 835 E 4800 S, Murray, UT 84107-5040 | 2006-11-28 |
| Find all providers in MURRAY | ||||
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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.