ANNETTE JENNINGS CALDWELL


Address: 3971 Sylvania Plantation Road, Greenwood, FL 32443-0017
Phone: 8505945503

ANNETTE JENNINGS CALDWELL (NPI# 1679991129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679991129
Entity Type Individual
Full Name ANNETTE JENNINGS CALDWELL
Credential ARNP
Practice Address 3971 Sylvania Plantation Road
Greenwood
FL 32443-0017
Mailing Address Po Box 17
Greenwood
FL 32443-0017
Practice Telephone 8505945503
Mailing Telephone 8505945503
Enumeration Date 2014-04-02
Last Update Date 2014-04-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
ARNP3177572 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3971 SYLVANIA PLANTATION ROAD
City GREENWOOD
State FL
Zip Code 32443-0017

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City GREENWOOD
Zip Code 32443

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Dataset Information

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.

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