JESSICA PACK (NPI# 1629609359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629609359 |
| Entity Type | Individual |
| Full Name | JESSICA PACK |
| Practice Address |
125 Nationwide Dr Lynchburg VA 24502-4272 |
| Mailing Address |
1608 Salem Rd Spout Spring VA 24593-9623 |
| Practice Telephone | 4342004422 |
| Mailing Telephone | 4343520864 |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024178683 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013365881 | Jessica Yoon Kyung Pack | Dentist | 1234 Wilshire Blvd Apt 212, Los Angeles, CA 90017-1974 | 2016-06-02 |
| 1205119575 | Jessica K. Pack | Genetic Counselor, MS | 4330 Glenview Avenue, #111, Glenview, KY 40025-0111 | 2011-09-23 |
| Street Address |
125 NATIONWIDE DR |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-4272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679562441 | Duncan G. Hughes | Family Medicine | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2005-10-14 |
| 1275132391 | Olena Z Mahne | Nurse Practitioner | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2020-10-20 |
| 1306453675 | Centra Medical Group Endocrinology | Internal Medicine | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2020-09-30 |
| 1871110353 | Christopher Trent Smith | Physical Therapist | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2020-06-30 |
| 1720593965 | Matthew Paul Neumann | Internal Medicine | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2017-12-11 |
| 1336651504 | Michelle Angus | Nurse Practitioner | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2017-10-27 |
| 1730699596 | Christian Ann Bowlin | Physician Assistant | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2017-10-06 |
| 1588180939 | Hollie Lacy | Physical Therapist | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2017-08-17 |
| 1336688456 | John Daniel Ruck | Nurse Practitioner | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2017-02-22 |
| 1528502713 | Stacey Evans Harris | Dietitian, Registered | 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 2016-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134694 | Samantha Bonita Wilkins-copeland | Nurse Practitioner | 600 Reusens Rd Apt L129, Lynchburg, VA 24503-1270 | 2020-11-03 |
| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1144724501 | Jennifer Marie Phillips | Nurse Practitioner | 715 Rainbow Forest Dr, Lynchburg, VA 24502-3035 | 2018-03-21 |
| 1831638691 | Melissa Smedley | Nurse Practitioner | 491 Majors Blvd, Lynchburg, TN 37352-8344 | 2017-02-13 |
| 1669827952 | Anthony Glenn Hamlett | Nurse Practitioner | 241 Beverly Hills Cir, Lynchburg, VA 24502-5241 | 2016-04-25 |
| 1609278514 | Darin Mckinney, Fnp-c | Nurse Practitioner | 8900 Ohio 134, Lynchburg, OH 45142 | 2014-09-23 |
| 1255615233 | Kirsten L Hinson | Nurse Practitioner | 1701 Thomson Drive, Suite 200, Lynchburg, VA 24501 | 2011-10-07 |
| 1225110166 | Mark Francis Hankins | Nurse Practitioner | 125 Nationwide Drive, Lynchburg, VA 24502-4272 | 2006-10-19 |
| 1174604656 | Kristie Lynn Markham | Nurse Practitioner | 2015 Tate Springs Rd Lowr Level Suite 2, Lynchburg, VA 24501-1111 | 2006-10-18 |
| Find all providers in LYNCHBURG | ||||
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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.