DR. NICOLE MICHELLE JENNINGS (NPI# 1801881891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801881891 |
| Entity Type | Individual |
| Full Name | DR. NICOLE MICHELLE JENNINGS |
| Credential | M.D. |
| Practice Address |
116 W Main St Henderson TN 38340-2231 |
| Practice Telephone | 7319890001 |
| Practice Fax Number | 7319895151 |
| Mailing Telephone | 7319890001 |
| Mailing Fax Number | 7319895151 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2013-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD0000034823 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3867610 | 05 | |
| TN | RAILROAD MEDICARE | P00111567 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700449964 | Nicole D Jennings | Prosthetist | 920 Saint Andrews Rd Ste 2&3, Columbia, SC 29210-5816 | 2019-04-15 |
| 1881179349 | Nicole Olivia Jennings | Counselor | 1225-1255 Whitehorse Mercerville Rd, Building B Suite 504, Hamilton, NJ 08619 | 2018-10-01 |
| 1548744253 | Nicole Jennings | Marriage & Family Therapist | 300 W Douglas Ave Ste 305, Wichita, KS 67202-2907 | 2018-09-18 |
| 1174970024 | Nicole Jennings | Specialist/Technologist | 3420 Caldwell Ridge Pkwy, Charlotte, NC 28213-2124 | 2016-05-20 |
| 1659658409 | Nicole Renee Jennings | Nurse's Aide | 356 Effington Ln, Columbus, OH 43207-5337 | 2011-11-08 |
| 1730290990 | Nicole Blackwell Jennings | Internal Medicine | 1308 Paluxy Rd Ste 300, Granbury, TX 76048-5689 | 2006-08-31 |
| Street Address |
116 W MAIN ST |
| City | HENDERSON |
| State | TN |
| Zip Code | 38340-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669954889 | Scott Sampson Norris | Nurse Practitioner | 116 W Main St, Henderson, TN 38340-2231 | 2018-09-04 |
| 1164807186 | Pamela Riley | Nurse Practitioner | 116 W Main St, Henderson, TN 38340-2231 | 2015-07-21 |
| 1205109303 | Amanda L Hearn | Nurse Practitioner | 116 W Main St, Henderson, TN 38340-2231 | 2012-02-21 |
| 1174749469 | Frix-jennings Clinic PC | Internal Medicine | 116 W Main St, Henderson, TN 38340-2231 | 2007-04-17 |
| 1861445611 | Alexander Pearce Walker | Nurse Practitioner | 116 W Main St, Henderson, TN 38340-2231 | 2006-05-19 |
| 1952351355 | Keata Lorraine Anthony | Nurse Practitioner | 116 W Main St, Henderson, TN 38340-4003 | 2006-05-10 |
| 1235124223 | Carey Wallace Frix | Family Medicine | 116 W Main St, Henderson, TN 38340-2231 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407487390 | Cornerstone Pharmacy, LLC | Pharmacy | 1330 Us Hwy 45 N Ste D, Henderson, TN 38340 | 2020-01-29 |
| 1184774358 | State of Tennessee | Public Health or Welfare | 301 Quinco Drive, Henderson, TN 38340 | 2007-01-11 |
| 1952381089 | Ronald Allen Hoffmeyer | Physician Assistant | 1132 Industrial Drive, Henderson Health Center, Henderson, TN 38340 | 2006-01-17 |
| 1487636031 | Ronald E Johnson | Dentist | 136 South Washington Ave, Henderson, TN 38340-0096 | 2005-11-18 |
| 1174835664 | Southwest Human Resource Agency | Local Education Agency (LEA) | 1527 White Avenue, Henderson, TN 38340-0264 | 2010-07-13 |
| 1366637969 | Hardeman County Community Health Center | Clinic/Center | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2007-09-07 |
| 1629380639 | Candice Johnson Jones | Family Medicine | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2010-07-07 |
| 1578510269 | Henderson Residential, LLC | Assisted Living Facility | 558 White Ave, Henderson, TN 38340-1504 | 2006-05-28 |
| 1457591117 | Melaro Behavioral Consultants Inc | Clinic/Center | 225 W Sixth St, Henderson, TN 38340-1515 | 2009-02-20 |
| 1386797314 | David Allen Magee | Dentist | 1520 Cherry Creek Cv, Henderson, TN 38340-1578 | 2007-01-21 |
| Find all providers in zip 38340 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811521313 | Mahgerefteh Medical Pllc | Internal Medicine | 10624 S Eastern Ave Ste A-1015, Henderson, NV 89052-2982 | 2020-02-24 |
| 1780232421 | Toledo and Associates Ltd | Internal Medicine | 1546 W Warm Springs Rd Ste 100, Henderson, NV 89014-4326 | 2019-08-27 |
| 1528552379 | Snf Doctors of Henderson, Inc | Internal Medicine | 10410 S Eastern Ave Ste 100, Henderson, NV 89052-4196 | 2018-06-15 |
| 1063828226 | Premiere Home Services LLC | Internal Medicine | 688 Childrens Way, Henderson, NV 89052-4818 | 2014-07-09 |
| 1376973594 | Roy M Margallo Md | Internal Medicine | 10725 Prairie Wheat Ct, Henderson, NV 89052-8688 | 2013-11-25 |
| 1255779443 | Tiffany Therese Fonte | Internal Medicine | 108 E Lake Mead Pkwy Ste 302, Henderson, NV 89015 | 2013-06-10 |
| 1679864854 | Mpado Medical (amin) Ltd. | Internal Medicine | 11425 S Bermuda Rd, Henderson, NV 89052-8710 | 2011-04-22 |
| 1932498144 | Wendy Mojica | Internal Medicine | 10624 S Eastern Ave # A955, Henderson, NV 89052 | 2011-03-29 |
| 1912201104 | Elron Mighty | Internal Medicine | 745 S Green Valley Pkwy Ste 160, Henderson, NV 89052 | 2011-01-02 |
| 1295052322 | Joseph E. Dawa | Internal Medicine | 2900 W Horizon Ridge Pkwy Ste 221, Henderson, NV 89052-5014 | 2010-04-29 |
| Find all providers in HENDERSON | ||||
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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.