JENNIFER ROSE DURHAM (NPI# 1629403563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629403563 |
| Entity Type | Individual |
| Full Name | JENNIFER ROSE DURHAM |
| Other Name | JENNIFER ROSE GATES |
| Credential | APN |
| Practice Address |
10003 Webster Rd Camden On Gauley WV 26208-7713 |
| Practice Telephone | 3042265725 |
| Practice Fax Number | 3042263274 |
| Mailing Telephone | 3042265725 |
| Mailing Fax Number | 3042263274 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2016-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
73253 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810026528 | 05 | |
| WV | MEDICARE | WV3488A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265929392 | Jennifer Nicole Durham | Peer Specialist | 307 N Bighorn St, Skiatook, OK 74070-3807 | 2018-04-14 |
| 1629429196 | Jennifer Marie Durham | Massage Therapist | 2473 Abarth St, Las Vegas, NV 89142-2501 | 2016-06-27 |
| 1033374996 | Jennifer Dawn Durham | Social Worker | 3605 Ne Loop 286 Ste 900, Paris, TX 75460-4912 | 2008-07-21 |
| 1457399206 | Jennifer B. Durham | Nurse Practitioner | 1850 Town Center Pkwy Ste 550, Reston, VA 20190-3300 | 2006-06-03 |
| 1043839285 | Jennifer L Durham | Nurse Practitioner | 2031 Dream Catcher Plz, Oneida, NY 13421-2729 | 2020-04-08 |
| 1013419639 | Jennifer L Durham | Dental Hygienist | 7450 Albert Rd, Brandywine, MD 20613-3035 | 2018-02-28 |
| 1932610706 | Jennifer Durham | Counselor | 46 E Water St, Chillicothe, OH 45601-2544 | 2017-10-19 |
| 1558627430 | Jennifer L Durham | Occupational Therapist | 979 E 3rd St, Suite C-920, Chattanooga, TN 37403-2136 | 2012-04-05 |
| 1104156264 | Jennifer Michelle Durham | Registered Nurse | 201 Governors Dr Sw, Suite 400, Huntsville, AL 35801-5170 | 2010-01-12 |
| 1780881888 | Jennifer Durham | Counselor | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2007-07-02 |
| Street Address |
10003 WEBSTER RD |
| City | CAMDEN ON GAULEY |
| State | WV |
| Zip Code | 26208-7713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598749244 | Camden On Gauley Medical Center Inc | Clinic/Center | 10003 Webster Rd, Camden On Gauley, WV 26208-0069 | 2005-12-05 |
| 1386242600 | Tricia Dawn Simpkin | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2020-10-09 |
| 1861049686 | Seth Nathaniel Hamrick | Dentist | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2019-08-26 |
| 1932752078 | Holly Fitzwater | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2019-07-18 |
| 1477010932 | Katherine Samples | Social Worker | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2019-02-20 |
| 1285128272 | Daonna Autumn Fox | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2018-06-21 |
| 1184147522 | Anna Marie Philpott | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2017-07-18 |
| 1891236873 | Misty James | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2017-03-10 |
| 1184169666 | Shawna Cogar | Social Worker | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2016-12-20 |
| 1639611452 | Camden On Gauley Medical Center Inc | Clinic/Center | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2016-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083715528 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 18116 Webster Road, Craigsville, WV 26208 | 2006-09-26 |
| 1871633727 | Camden On Gauley Medical Center Inc | Clinical Medical Laboratory | 10003 Webster Road, Camden On Gauley, WV 26208-0000 | 2007-02-08 |
| 1801935242 | Camden On Gauley Medical Center Inc | Pharmacist | 10003 Webster Rd., Camden On Gauley, WV 26208-0069 | 2007-02-05 |
| 1134184211 | Kimberly J Angus | Nurse Practitioner | 10003 Webster Road, Camden On Gauley, WV 26208-0069 | 2006-04-20 |
| 1003089905 | Milissa K Short | Nurse Practitioner | 10003 Webster Road, Camden On Gauley, WV 26208-0069 | 2008-04-11 |
| 1376712893 | Crystal Rose Taylor | Nurse Practitioner | 10003 Webster Road, Camden On Gauley, WV 26208-0069 | 2008-02-28 |
| 1568661064 | Crystal Marie Hickman Rodebaugh | Family Medicine | 10003 Webster Road, Camden-on-gauley, WV 26208-3702 | 2007-07-13 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134184211 | Kimberly J Angus | Nurse Practitioner | 10003 Webster Road, Camden On Gauley, WV 26208-0069 | 2006-04-20 |
| 1386242600 | Tricia Dawn Simpkin | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2020-10-09 |
| 1932752078 | Holly Fitzwater | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2019-07-18 |
| 1285128272 | Daonna Autumn Fox | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2018-06-21 |
| 1184147522 | Anna Marie Philpott | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2017-07-18 |
| 1891236873 | Misty James | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2017-03-10 |
| 1922468529 | Jennifer Truman | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2016-02-25 |
| 1003203316 | Nicole Radabaugh | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2015-04-24 |
| 1033519558 | Kara Holdren | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208-7713 | 2014-09-03 |
| 1386900140 | Elizabeth Ann Coffman | Nurse Practitioner | 10003 Webster Rd, Camden On Gauley, WV 26208 | 2012-04-05 |
| Find all providers in CAMDEN ON GAULEY | ||||
| City | CAMDEN ON GAULEY |
| Zip Code | 26208 |
Please comment or provide details below to improve the information on JENNIFER ROSE DURHAM.
| 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.