JENEA DANIELLE BENNETT-TALLEY (NPI# 1790266401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790266401 |
| Entity Type | Individual |
| Full Name | JENEA DANIELLE BENNETT-TALLEY |
| Credential | FNP |
| Practice Address |
200 E 5th St Chase City VA 23924-1456 |
| Mailing Address |
74 Trinity Church Rd South Hill VA 23970-5448 |
| Practice Telephone | 4343720900 |
| Mailing Telephone | 4349550347 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
24047 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024176509 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 E 5TH ST |
| City | CHASE CITY |
| State | VA |
| Zip Code | 23924-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578029609 | Stacy Davis | Nurse Practitioner | 200 E 5th St, Chase City, VA 23924-1456 | 2019-02-13 |
| 1033566153 | Mary Rose Jayme | Nurse Practitioner | 200 E 5th St, Chase City, VA 23924-1456 | 2016-05-18 |
| 1669411914 | Chase City Primary Care Center, LLC | Clinic/Center | 200 E 5th St, Chase City, VA 23924-1456 | 2006-06-05 |
| 1790739761 | Chase City Primary Care Center, LLC | Family Medicine | 200 E 5th St, Chase City, VA 23924-1456 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588209647 | Miranda Fields | Nurse Practitioner | 5539 Va-47, Chase City, VA 23924 | 2019-11-13 |
| 1174746390 | Cheryl Evans Lard | Occupational Therapist | 5339 Hwy 47, Chase City, VA 23924 | 2007-04-10 |
| 1114067642 | Fw Richards Jr Inc | Pharmacy | 932 North Main St, Chase City, VA 23924 | 2007-02-07 |
| 1063581593 | William Lynn Thomas | Dentist | 237 E. 5th Street, Chase City, VA 23924 | 2006-11-07 |
| 1689772238 | Dominion Health Medical Assoc | Legal Medicine | 946 N. Main St, Chase City, VA 23924 | 2006-09-20 |
| 1912957929 | Chase City Rescue Squad, Inc. | Emergency Medical Technician, Intermediate | 335 Mecklenburg Drive, Chase City, VA 23924 | 2006-05-11 |
| 1124566070 | Being A Blessing Consulting Agency, LLC | Home Health | 518 N Main St, Chase City, VA 23924 | 2017-02-10 |
| 1457748600 | Save Our Future Inc | Health Maintenance Organization | 921 N. Main Street, Chase City, VA 23924 | 2015-04-24 |
| 1912420167 | Reliable Transportation Service LLC | Non-emergency Medical Transport (VAN) | 568 N Washington St, Chase City, VA 23924-1107 | 2017-07-19 |
| 1780230649 | Mark Joseph Hairston | Pharmacist | 610 N Main St, Chase City, VA 23924-1133 | 2019-08-15 |
| Find all providers in zip 23924 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588209647 | Miranda Fields | Nurse Practitioner | 5539 Va-47, Chase City, VA 23924 | 2019-11-13 |
| 1578029609 | Stacy Davis | Nurse Practitioner | 200 E 5th St, Chase City, VA 23924-1456 | 2019-02-13 |
| 1326583345 | Keysha D. Ahmad-winborne | Nurse Practitioner | 946 N Main St, Chase City, VA 23924-1139 | 2016-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568328 | Lindsey Faulkner | Nurse Practitioner | 32 2nd Ave, Kilmarnock, VA 22482-9571 | 2020-11-06 |
| 1275134694 | Samantha Bonita Wilkins-copeland | Nurse Practitioner | 600 Reusens Rd Apt L129, Lynchburg, VA 24503-1270 | 2020-11-03 |
| 1427659010 | Angela Marie Baker | Nurse Practitioner | 12631 Harrowgate Rd, Chester, VA 23831-4808 | 2020-11-02 |
| 1225638026 | Prasanti Pinnamaraju | Nurse Practitioner | 5324 Fox Ridge Rd, Roanoke, VA 24018-8754 | 2020-10-29 |
| 1881294783 | Amy K Volk | Nurse Practitioner | 272 Bendix Rd Ste 100, Virginia Beach, VA 23452-1380 | 2020-10-29 |
| 1932708971 | Kenjilyn Saldua Uchida | Nurse Practitioner | 8006 Hampton Glen Mews, Chesterfield, VA 23832-2003 | 2020-10-21 |
| 1245839497 | Abdul Malike | Nurse Practitioner | 8010 George Fox Pl, Lorton, VA 22079-2347 | 2020-10-20 |
| 1316546740 | Kristen Avery Weaver | Nurse Practitioner | 322 High St, Dayton, VA 22821-9548 | 2020-10-17 |
| 1619575016 | Lauren Marie Rayburn | Nurse Practitioner | 21021 Sycolin Rd, Ashburn, VA 20147-4097 | 2020-10-16 |
| 1366041790 | Stephanie Ferber | Nurse Practitioner | 8081 Innovation Park Dr Fl 7, Fairfax, VA 22031-4867 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | CHASE CITY |
| Zip Code | 23924 |
Please comment or provide details below to improve the information on JENEA DANIELLE BENNETT-TALLEY.
| 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.