MRS. CONNIE P KITCHEN


Address: 192 Village Dr, Jacksonville, NC 28546
Phone: 9105771400

MRS. CONNIE P KITCHEN (NPI# 1760777098) 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) 1760777098
Entity Type Individual
Full Name MRS. CONNIE P KITCHEN
Credential FNPC, RN & PA
Practice Address 192 Village Dr
Jacksonville
NC 28546
Practice Telephone 9105771400
Practice Fax Number 9105772725
Mailing Telephone 9105772770
Mailing Fax Number 9105772766
Enumeration Date 2011-06-15
Last Update Date 2011-06-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
200139 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 8913388 05

Other Providers CONNIE KITCHEN

NPI Name Taxonomy Address Enumeration
1063516524 Connie Brannon Kitchen Counselor 409 N Fredonia St Ste 105, Longview, TX 75601-6466 2006-09-12

Office Location

Street Address 192 VILLAGE DR
City JACKSONVILLE
State NC
Zip Code 28546

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992701486 Brynn Marr Hospital Inc Psychiatric Hospital 192 Village Dr, Jacksonville, NC 28546-7238 2005-06-21
1144735069 Brynn Marr Hospital - Navy Resource Sharing General Acute Care Hospital 192 Village Dr, Jacksonville, NC 28546-7238 2017-12-14
1336587682 Tonya Leblanc Social Worker 192 Village Dr, Jacksonville, NC 28546-7238 2013-06-10
1760715841 Institutional Pharmacy Solutions, LLC Pharmacy 192 Village Dr, Jacksonville, NC 28546-7238 2009-09-08
1285861088 Cynthia Jo Waun Counselor 192 Village Dr, Jacksonville, NC 28546-7238 2009-06-18
1770526501 Harry Todd Enderlin Psychologist 192 Village Dr, Jacksonville, NC 28546-7238 2006-06-13
1144207804 Brynn Marr Hospital Psychiatric Residential Treatment Facility 192 Village Dr, Jacksonville, NC 28546 2005-12-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316578388 Judylyn Hobson Registered Nurse Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 2020-01-29
1427694637 Aaron Patrick Bettcher Military Health Care Provider 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 2019-11-22
1962044289 Levi Scott Marshall Military Health Care Provider Everett Creek Road, Building 612, Camp Lejeune, NC 28546 2019-10-09
1649826652 Nicholas Otazo Military Health Care Provider 3rd Mrb 20073, Camp Lejeune, NC 28546 2019-08-15
1417519570 Publix North Carolina, Lp Durable Medical Equipment & Medical Supplies 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 2019-06-28
1023500212 Josip Ninrodriguez Military Health Care Provider 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 2018-06-04
1639661192 Kenneth Lee Russell Military Health Care Provider 3d Marine Raider Battalion, Camp Lejeune, NC 28546 2018-05-31
1346730173 Coastal Foot Center, LLC Clinic/Center 29 Office Park Dr Ste B, Jacksonville, NC 28546 2018-05-17
1578080271 Walgreen Co Durable Medical Equipment & Medical Supplies 380 Western Blvd, Jacksonville, NC 28546 2017-08-24
1144757493 Darin Lee Peterson Specialist/Technologist G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 2017-05-17
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306443916 Simmy Regin Varghese Nurse Practitioner 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 2020-10-06
1265917124 Sandra Jayussi Nurse Practitioner 7406 Fullerton Ave, Jacksonville, FL 32256 2018-09-26
1427563980 William Phillips Nurse Practitioner 1325 San Marco Blvd Bldg Suite300, Jacksonville, FL 32207-8568 2017-12-06
1366977902 Annette Faulkner Wall Nurse Practitioner 14601 Swansea Ct, Jacksonville, FL 32258-4446 2017-04-20
1730457565 Tressie Brooks Nurse Practitioner 4203 Belfort Rd Ste 108, Jacksonville, FL 32216-1411 2011-12-07
1346563129 Brooke Leigh Mcduffie Nurse Practitioner 3115 Spring Glen Rd, Suite 505, Jacksonville, FL 32207-5978 2010-03-08
1558536490 Jacquelyn Danette Cannon Nurse Practitioner 1200 Riverplace Blvd 620, Jacksonville, FL 32207-1803 2008-04-22
1003969627 Mike J Primeaux Nurse Practitioner 10601 San Jose Blvd Ste 208, Jacksonville, FL 32257-8203 2007-01-18
1700819372 Paula F New Nurse Practitioner 3221 Henderson Dr, Jacksonville, NC 28546-5251 2006-07-08
1114972841 Roxanna A Mcdonald Nurse Practitioner 1947 Morningside St, Jacksonville, FL 32205-9390 2006-05-23
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Competitor

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City JACKSONVILLE
Zip Code 28546

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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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