MS. JENNIFER LEAH MAHONEY (NPI# 1659544567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659544567 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER LEAH MAHONEY |
| Credential | RN, MSN, FNP |
| Practice Address |
1614 Nc Highway 56 Creedmoor NC 27522-8297 |
| Mailing Address |
Po Box 986 Oxford NC 27565-0986 |
| Practice Telephone | 9195756103 |
| Practice Fax Number | 9195756817 |
| Mailing Telephone | (919) 690-3487 |
| Mailing Fax Number | 9196903246 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2017-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
163683 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801446968 | Jennifer Susan Mahoney | Behavior Technician | 19 Desert Storm St, Clovis, NM 88101-8915 | 2019-09-19 |
| 1871011320 | Jennifer Jo Mahoney | Nurse Practitioner | 10975 Manet Way, Northglenn, CO 80234-3315 | 2017-09-05 |
| 1831718428 | Jennifer Mahoney | Massage Therapist | 1608 Memorial Dr, Burlington, NC 27215-4955 | 2020-04-13 |
| 1306313200 | Jennifer Nicole Mahoney | Dietitian, Registered | 10407 Clayton Rd, Frontenac, MO 63131-2909 | 2018-10-29 |
| 1679942122 | Jennifer Therese Mahoney | Physician Assistant | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2015-09-15 |
| 1700287836 | Jennifer Mahoney | Speech-Language Pathologist | 5701 Carmel Ave Ne, Suite B, Albuquerque, NM 87113-2842 | 2014-09-08 |
| 1992040893 | Jennifer Mahoney | Social Worker | 200 Cordwainer Dr, Suite 200, Norwell, MA 02061-1671 | 2012-12-03 |
| 1215078852 | Jennifer Mahoney | Nurse Practitioner | 9094 E Mineral Cir, Suite 100, Centennial, CO 80112-7200 | 2007-02-08 |
| 1023176583 | Jennifer Aileen Mahoney | Marriage & Family Therapist | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2006-12-05 |
| 1053343350 | Jennifer Mahoney | Nurse Practitioner | 9500 Euclid Ave, J 2 2, Cleveland, OH 44195-0001 | 2006-07-07 |
| Street Address |
1614 NC HIGHWAY 56 |
| City | CREEDMOOR |
| State | NC |
| Zip Code | 27522-8297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430854 | Granville Health System | Clinic/Center | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2005-07-08 |
| 1063025237 | Peyton Roberson Satterwhite | Nurse Practitioner | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2020-08-28 |
| 1184177297 | Mark Belligan | Physician Assistant | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2016-07-26 |
| 1417365685 | Kerry Hopson | Social Worker | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2014-07-31 |
| 1346660495 | Amy Jane Nayo | Family Medicine | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2014-04-16 |
| 1245575539 | Tonya Fisher Pruitt | Nurse Practitioner | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2012-11-28 |
| 1013275916 | Elizabeth Beatrice Baltaro | Family Medicine | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2012-04-27 |
| 1992938161 | Cornelius F. Cathcart, Pediatrics, Pa | Social Worker | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2009-09-03 |
| 1356363089 | Peggy Kiser Harris | Physician Assistant | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2006-07-24 |
| 1902828346 | Stephen Henry Begley | Physician Assistant | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606122 | A Will To Live Home Health, LLC | Nursing Care | 109 South Elm Street Unit C, Creedmoor, NC 27522 | 2020-07-12 |
| 1255794152 | Corey Coles | Family Medicine | 2503 E Lyon Station Rd # 2, Creedmoor, NC 27522 | 2016-03-30 |
| 1033473038 | Heather Thompson Currin | Counselor | 102 N Main Street, Creedmoor, NC 27522 | 2012-06-25 |
| 1639439664 | Tonya N Daniel | Lactation Consultant, Non-RN | 2695 Horseshoe Road, Creedmoor, NC 27522 | 2012-05-24 |
| 1992098776 | Syam Bandi | Pharmacist | 1560 High Way 56, Creedmoor, NC 27522 | 2011-05-26 |
| 1568698272 | Jane Carolyn Crowder | Counselor | 2651 Tar River Road, Creedmoor, NC 27522 | 2009-06-09 |
| 1316188550 | North Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 612 N. Main St., Creedmoor, NC 27522 | 2009-03-18 |
| 1447388863 | Scott D. Mims | Counselor | 2150 Highway #56 East, Creedmoor, NC 27522 | 2007-02-28 |
| 1720120603 | Patricia Dillard Jones | Counselor | 2150 Hwy 56 E, Creedmoor, NC 27522 | 2007-02-13 |
| 1851458327 | Triangle Advanced Diagnostic Imaging. | Clinical Medical Laboratory | 122 West Church Street, Creedmoor, NC 27522 | 2007-01-03 |
| Find all providers in zip 27522 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025237 | Peyton Roberson Satterwhite | Nurse Practitioner | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2020-08-28 |
| 1598208282 | Gretchen Iroha | Nurse Practitioner | 2503 E Lyon Station Rd, Creedmoor, NC 27522-9112 | 2016-11-29 |
| 1245575539 | Tonya Fisher Pruitt | Nurse Practitioner | 1614 Nc Highway 56, Creedmoor, NC 27522-8297 | 2012-11-28 |
| 1194989871 | Tara Neal | Nurse Practitioner | 2527 E Lyon Station Rd, Creedmoor, NC 27522-9112 | 2008-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811144 | Alice Bradshaw Callis | Nurse Practitioner | 110 Widgeon Dr, Currituck, NC 27929-9628 | 2020-11-04 |
| 1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
| 1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
| 1972103232 | Tauscha Alyse Gerald | Nurse Practitioner | 48 Flora Dr, Benson, NC 27504-8076 | 2020-10-27 |
| 1265031413 | Autumn Grimm | Nurse Practitioner | 511 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2020-10-20 |
| 1619576857 | Candace Allen | Nurse Practitioner | 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 | 2020-10-20 |
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1720686256 | Sheri Elizabeth Maclean | Nurse Practitioner | 117 Ivy Brook Ln, Chapel Hill, NC 27516-8084 | 2020-10-16 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. JENNIFER LEAH MAHONEY.
| 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.