JOLANE SUE CONKLIN (NPI# 1669775821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669775821 |
| Entity Type | Individual |
| Full Name | JOLANE SUE CONKLIN |
| Credential | NP-C |
| Practice Address |
2221 1 1/2 Mile Rd Fulton MI 49052-9632 |
| Practice Telephone | 2697294422 |
| Mailing Telephone | 2697294422 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2013-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704245491 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2221 1 1/2 MILE RD |
| City | FULTON |
| State | MI |
| Zip Code | 49052-9632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174754030 | Scott A Weber | Dietitian, Registered | 1474 Mno Bmadzewen Way, Fulton, MI 49052 | 2009-07-27 |
| 1427338839 | Bethany Leigh Fehsenfeld | Advanced Practice Midwife | 1474 Mno Bmadzewen Way, Fulton, MI 49052 | 2011-08-17 |
| 1316980873 | Margaret Adeline Fairchild | Social Worker | 2221 1 Mile Rd, Fulton, MI 49052-9602 | 2006-06-13 |
| 1275964066 | Jerrold Brown | Counselor | 1736 1 Mile Rd, Fulton, MI 49052-9612 | 2013-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775689 | Ericka Jo Daniszewski | Licensed Practical Nurse | 112 W 1st St N, Fulton, NY 13069-1150 | 2020-09-23 |
| 1063026086 | Rachel Romero | Nurse Practitioner | 407 Interchange Dr, Fulton, MS 38843-6029 | 2020-09-08 |
| 1215541529 | David Vecchio | Social Worker | 522 S 4th St Ste 200, Fulton, NY 13069-2946 | 2020-09-03 |
| 1417565979 | Eileen Welch | Social Worker | 1164 County Line Rd, Fulton, NY 13069-4369 | 2020-07-21 |
| 1619591542 | Kristy S. Franks | Nurse Practitioner | 2803 Cobb Stump Rd, Fulton, MS 38843-7391 | 2020-06-06 |
| 1497378475 | Sophia Adele Giovannetti | Dietitian, Registered | 74 Lakeshore Rd, Fulton, NY 13069-4782 | 2020-05-25 |
| 1609498245 | Elizabeth Katherine Stoltz | Radiology | 1126 14th Ave, Fulton, IL 61252-1139 | 2020-05-16 |
| 1063034288 | Kerri Scriven | Speech-Language Pathologist | 9459 Ellsworth Ct, Fulton, MD 20759-9639 | 2020-05-11 |
| 1912528274 | Drayer Physical Therapy of Maryland LLC | Clinic/Center | 11710 E Market Place, Suite F, Fulton, MD 20759 | 2020-04-28 |
| 1043849755 | Journey Well Therapy and Coaching Pllc | Clinic/Center | 408 11th Avenue, Fulton, IL 61252 | 2020-04-04 |
| Find all providers in FULTON | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026086 | Rachel Romero | Nurse Practitioner | 407 Interchange Dr, Fulton, MS 38843-6029 | 2020-09-08 |
| 1245890177 | Jo-ann Walter Middleton | Nurse Practitioner | 11957 Lime Kiln Rd, Fulton, MD 20759-9616 | 2019-06-13 |
| 1396200408 | Paige A Nabors | Nurse Practitioner | 800 Scott Senter Rd, Fulton, MS 38843-6238 | 2019-02-02 |
| 1659888428 | Annette Marie Holt | Nurse Practitioner | 350 Country Meadows Lane, Fulton, MO 65251 | 2018-01-03 |
| 1730695503 | Sametta Rhoda Sanyaolu | Nurse Practitioner | 7625 Maple Lawn Blvd Ste 260, Fulton, MD 20759-2565 | 2017-12-15 |
| 1649674342 | Natalie Wilburn Heckart | Nurse Practitioner | 1301 South Adams Sreet, Fulton, MS 38843 | 2014-10-09 |
| 1316214182 | Lynne M Coffey | Nurse Practitioner | 1130 17th St Ste B, Fulton, IL 61252-2008 | 2011-11-22 |
| 1386813855 | Zorina Marie Pina-hauan | Nurse Practitioner | 501 Westminster Ave, Fulton, MO 65251-1230 | 2008-02-28 |
| 1336266550 | Tara B Enlow | Nurse Practitioner | 202 Interchange Dr, Fulton, MS 38843-6011 | 2007-03-23 |
| 1376645697 | Rebecca Claire Northington | Nurse Practitioner | 302 Hospital Rd, Fulton, MS 38843-6002 | 2006-09-05 |
| Find all providers in FULTON | ||||
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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.