MS. JENNIFER ELIZABETH ATWATER (NPI# 1568642874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568642874 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER ELIZABETH ATWATER |
| Credential | PA-C |
| Practice Address |
431 N Judd Pkwy Ne Fuquay Varina NC 27526-2374 |
| Practice Telephone | 9195522292 |
| Practice Fax Number | 9195577668 |
| Mailing Telephone | 9195522292 |
| Mailing Fax Number | 9195577668 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2010-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001001108 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC MEDICAL BOARD | 001001108 | 01 |
| Street Address |
431 N JUDD PKWY NE |
| City | FUQUAY VARINA |
| State | NC |
| Zip Code | 27526-2374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023003134 | Thomas Cook Darrell | Family Medicine | 431 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2374 | 2005-09-14 |
| 1477539781 | Stacey Stowers Heppert | Physician Assistant | 431 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2374 | 2005-12-19 |
| 1295711513 | Fuquay-varina Family Practice, Pa | Family Medicine | 431 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2374 | 2005-12-19 |
| 1811982937 | Jason Edward Devente | Family Medicine | 431 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2374 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782721 | Leah C. Mcconkey | Speech-Language Pathologist | 305 Willow Grace Lane, Fuquay Varina, NC 27526 | 2019-10-18 |
| 1437617727 | Katherine Venable | Physician Assistant | 1418 N Main Street, Fuquay - Vanna, NC 27526 | 2019-03-06 |
| 1114403599 | Christine Newkirk | Social Worker | 344 Edgecroft Way, Fuquay Varina, NC 27526 | 2018-07-18 |
| 1851800536 | Pamela Trapp Johnson | Specialist | 196 Knight Estates Cir, Fuquay Varina, NC 27526 | 2017-09-25 |
| 1376908228 | Carrie Adeline Mitchell | Social Worker | 441 Leyland Cypress Ln, Fuquay Varina, NC 27526 | 2015-12-19 |
| 1235504267 | Keyana Sharlene Williams | Counselor | 602 E Academy St #205, Fuquay Varina, NC 27526 | 2015-12-02 |
| 1124452974 | Q1consultants, LLC | Community/Behavioral Health | 326 Daywood Creek Place, Fuquay, NC 27526 | 2013-08-29 |
| 1053759654 | Ellen Marie Macri | Developmental Therapist | 119 South Fuquay Avenue, Fuquay-varina, NC 27526 | 2013-06-05 |
| 1811239726 | Leslie H Yuan Gazdeck | Dentist | 1625 N Main St Ste 201, Fuquay Varina, NC 27526 | 2013-03-19 |
| 1093017725 | Joanne Scannell | Occupational Therapist | 119 South Fuquay Ave, Fuquay Varina, NC 27526 | 2010-12-01 |
| Find all providers in zip 27526 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114555257 | Wrenn Brotzman | Physician Assistant | 809 Amber Forest Dr, Fuquay Varina, NC 27526-5781 | 2020-04-01 |
| 1770133084 | Kaitlynn Mckinney | Physician Assistant | 1140 Crystalwater Dr, Fuquay Varina, NC 27526-5237 | 2019-09-18 |
| 1245777473 | Youngsun Jyang | Physician Assistant | 2133 Marquee Ln, Fuquay Varina, NC 27526-3207 | 2017-01-25 |
| 1891878328 | Maria Desantis-wilcox | Physician Assistant | 2314 Zebco Way, Fuquay Varina, NC 27526 | 2006-10-20 |
| 1326597378 | Lisa Fields | Physician Assistant | 1418 N Main St, Fuquay Varina, NC 27526-8901 | 2016-09-30 |
| 1790231223 | Timothy Marshall Flack | Physician Assistant | 1617 N Main St, Fuquay Varina, NC 27526-9021 | 2016-08-25 |
| 1295125656 | Maghen York | Physician Assistant | 231 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2694 | 2015-01-23 |
| 1205225893 | Robert Crews Edens | Physician Assistant | 231 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2694 | 2015-01-20 |
| 1326375841 | Emily Grace Parker | Physician Assistant | 1006 Procure Dr, Suite 100, Fuquay Varina, NC 27526-2627 | 2009-11-04 |
| 1477539781 | Stacey Stowers Heppert | Physician Assistant | 431 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2374 | 2005-12-19 |
| Find all providers in FUQUAY VARINA | ||||
| City | FUQUAY VARINA |
| Zip Code | 27526 |
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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.