JENNIFER M HUMPHREY (NPI# 1639642986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639642986 |
| Entity Type | Individual |
| Full Name | JENNIFER M HUMPHREY |
| Credential | APRN, FNP-C |
| Practice Address |
504 N Sturgeon St Montgomery City MO 63361-1829 |
| Practice Telephone | 5735642990 |
| Mailing Telephone | 5735642990 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2018044467 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245871573 | Jennifer Humphrey | Chiropractor | 5609 Medical Cir Ste 2, Madison, WI 53719-1228 | 2019-10-08 |
| 1780979492 | Jennifer Humphrey | Speech-Language Pathologist | 4900 Brownlow Cir, Wilmington, NC 28409-3286 | 2011-06-10 |
| 1215147996 | Jennifer Humphrey | Social Worker | 225 West 12th St., Ste 1b, New York, NY 10011 | 2007-05-23 |
| 1952965352 | Jennifer Humphrey | Counselor | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2019-05-01 |
| 1023555703 | Jennifer Sheridan Humphrey | Nurse Practitioner | 6890 Greensboro Rd, Ridgeway, VA 24148-3555 | 2017-01-19 |
| 1902285505 | Jennifer Nicole Humphrey | Counselor | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2015-05-28 |
| 1922299189 | Jennifer Diane Humphrey | Physical Therapy Assistant | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2007-08-05 |
| 1275660425 | Jennifer Humphrey | Social Worker | 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350-2947 | 2007-02-27 |
| Street Address |
504 N STURGEON ST |
| City | MONTGOMERY CITY |
| State | MO |
| Zip Code | 63361-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629063524 | Michael Thomas Rothermich | Family Medicine | 504 N Sturgeon St, Montgomery City, MO 63361-1829 | 2005-09-16 |
| 1558606731 | Kari Lynn Hercules | Nurse Practitioner | 504 N Sturgeon St, Montgomery City, MO 63361-1829 | 2012-11-29 |
| 1710293972 | Mary Ellen Shanks | Nurse Practitioner | 504 N Sturgeon St, Montgomery City, MO 63361-1829 | 2010-08-26 |
| 1851528087 | Krystal L Witthaus | Social Worker | 504 N Sturgeon St, Montgomery City, MO 63361-1829 | 2009-06-15 |
| 1992830921 | Hermann Area Hospital District | Clinic/Center | 504 N Sturgeon St, Montgomery City, MO 63361-1829 | 2007-02-22 |
| 1811062375 | Hermann Area Hospital District | Clinic/Center | 504 N Sturgeon St, Montgomery City, MO 63361-1829 | 2006-11-21 |
| 1417923582 | Gregory S. Link | Social Worker | 504 N Sturgeon St, Montgomery City, MO 63361-1829 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508101338 | Charles Bukovac | Dentist | 215 South Sturgeon St, Montgomery City, MO 63361 | 2012-12-05 |
| 1265553820 | Thomas Robert Nichols | Dentist | 215 S Sturgeon, Suite C, Montgomery City, MO 63361 | 2007-04-02 |
| 1912999251 | Diana L Gibbs | Nurse Practitioner | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2005-08-22 |
| 1467001248 | Preferred Family Healthcare Inc | Community/Behavioral Health | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2019-09-05 |
| 1215440417 | Montgomery County Health Department | Public Health or Welfare | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2017-11-09 |
| 1902892375 | Montgomery County Health Department | Public Health or Welfare | 400 Salisbury St, Montgomery City, MO 63361-1232 | 2005-09-21 |
| 1932114584 | Montgomery County Ambulance District | Ambulance | 911 Benton St, Montgomery City, MO 63361-1318 | 2006-07-30 |
| 1841346269 | Family Pharmacy | Pharmacy | 806 N Sturgeon St, Montgomery City, MO 63361-1426 | 2007-01-26 |
| 1255972196 | Family Pharmacy | Pharmacy | 806 N Sturgeon St, Montgomery City, MO 63361-1426 | 2019-10-02 |
| 1366940280 | Elizabeth A Holtman | Pharmacist | 806 N Sturgeon St, Montgomery City, MO 63361-1426 | 2018-01-25 |
| Find all providers in zip 63361 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922485259 | Healthy Choice | Nurse Practitioner | 111 E 1st St, Montgomery City, MO 63361-2550 | 2015-05-06 |
| 1144648924 | Kristina Boylan | Nurse Practitioner | 240 Pickering St, Montgomery City, MO 63361-1941 | 2014-03-31 |
| 1558606731 | Kari Lynn Hercules | Nurse Practitioner | 504 N Sturgeon St, Montgomery City, MO 63361-1829 | 2012-11-29 |
| 1710293972 | Mary Ellen Shanks | Nurse Practitioner | 504 N Sturgeon St, Montgomery City, MO 63361-1829 | 2010-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY CITY |
| Zip Code | 63361 |
Please comment or provide details below to improve the information on JENNIFER M HUMPHREY.
| 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.