MRS. JENNIFER LEE GERBER (NPI# 1710038989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710038989 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LEE GERBER |
| Credential | F.N.P. |
| Practice Address |
104 Hillwood Dr Waverly TN 37185-2116 |
| Mailing Address |
Po Box 270 Waverly TN 37185-0270 |
| Practice Telephone | 9312967052 |
| Practice Fax Number | 9312963566 |
| Mailing Telephone | 9312967052 |
| Mailing Fax Number | 9312963566 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2013-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN0000105859 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD TN | 4045784 | 01 |
| TN | DEPT OF LABOR | 223121700 | 01 |
| TN | 3904781 | 05 | |
| DEA REGISTRATION USA | MT0617362 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356632392 | Jennifer Lynn Gerber | Anesthesiology | 707 Sw Washington St, Suite 700, Portland, OR 97205-3536 | 2011-04-26 |
| 1487713020 | Jennifer Maguire Gerber | Counselor | 301 Palmetto Park Blvd, Lexington, SC 29072-7872 | 2006-12-08 |
| Street Address |
104 HILLWOOD DR |
| City | WAVERLY |
| State | TN |
| Zip Code | 37185-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104295567 | Tiffany Szabo | Speech-Language Pathologist | 670 Tn- 13, Waverly, TN 37185 | 2015-09-16 |
| 1407266653 | Wallace Mcclure | General Practice | 450 Powers Blvd., Waverly, TN 37185 | 2014-04-28 |
| 1982995346 | Laurel Lea Barrier | Speech-Language Pathologist | 1171 Lockhart Road, Waverly, TN 37185 | 2011-04-20 |
| 1477703155 | Christie Madge King-patterson | Nurse Practitioner | 215b Holly Lane, Waverly, TN 37185 | 2008-09-30 |
| 1396921946 | Tammy Jo Saffel | Counselor | 205b East Main Street, Waverly, TN 37185 | 2008-01-14 |
| 1386794816 | Lawrence Richard Jackson Jr. | Family Medicine | 102 Hillwood Dr, Waverly, TN 37185 | 2007-01-10 |
| 1720147119 | Kelley M Blackwell | Marriage & Family Therapist | 795 Holly Ln, Waverly, TN 37185 | 2006-12-08 |
| 1063509578 | Ida Suellen Westerman | Counselor | 205 B East Main Street, Waverly, TN 37185 | 2006-10-06 |
| 1801835962 | Noel R Dominguez | Internal Medicine | 209 West Main Street, Waverly, TN 37185 | 2006-06-05 |
| 1730145822 | Waverly Health Care and Rehabilitation Center Inc | Skilled Nursing Facility | 895 Powers Blvd, Waverly, TN 37185 | 2006-04-26 |
| Find all providers in zip 37185 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033442520 | April L. Mclevain | Nurse Practitioner | 4380 State Route 359, Waverly, KY 42462 | 2009-09-15 |
| 1477703155 | Christie Madge King-patterson | Nurse Practitioner | 215b Holly Lane, Waverly, TN 37185 | 2008-09-30 |
| 1548340078 | Mary B. Davis | Nurse Practitioner | 725 Holly Ln, Waverly, TN 37185-3284 | 2006-10-17 |
| 1154353092 | Memorial Clinic P.C. | Nurse Practitioner | 203 E Commerce St, Waverly, TN 37185-1629 | 2006-07-07 |
| 1346205796 | Dorothy L Dighton | Nurse Practitioner | Missouri St & Hwy 24, Waverly, MO 64096 | 2006-04-19 |
| 1528027562 | Nancy S. Kemp | Nurse Practitioner | 29 N Chemung St, Waverly, NY 14892-1211 | 2006-03-20 |
| 1447869821 | Rachel Cloke | Nurse Practitioner | 29 N Chemung St, Waverly, NY 14892-1211 | 2020-07-30 |
| 1285264630 | Ellen Elizabeth Jacque | Nurse Practitioner | 312 9th St Sw, Waverly, IA 50677-2999 | 2020-01-23 |
| 1114571536 | Ashlin Underwood | Nurse Practitioner | 301 W Main St, Waverly, TN 37185-1512 | 2019-07-25 |
| 1932672763 | Nnebuisi Alaedu | Nurse Practitioner | 24427 Mussellwhite Dr, Waverly, VA 23891-2222 | 2019-01-03 |
| Find all providers in WAVERLY | ||||
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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.