MRS. JANICE TILLERY MYRICK (NPI# 1821122565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821122565 |
| Entity Type | Individual |
| Full Name | MRS. JANICE TILLERY MYRICK |
| Credential | RN NP-C |
| Practice Address |
19 North Dobbs Street Halifax NC 27839-0010 |
| Mailing Address |
Po Box 874 Littleton NC 27850-0874 |
| Practice Telephone | 2525835021 |
| Mailing Telephone | 2525864065 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2013-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
059484 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
19 NORTH DOBBS STREET |
| City | HALIFAX |
| State | NC |
| Zip Code | 27839-0010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740217785 | County of Halifax | Public Health or Welfare | 19 North Dobbs Street, Halifax, NC 27839-0010 | 2006-06-26 |
| 1700190832 | Elizabeth Boyd Odom | Nutritionist | 19 North Dobbs Street, Halifax, NC 27839-0010 | 2010-07-30 |
| 1992865620 | Diane Rokita Pridgen | Counselor | 19 North Dobbs Street, Halifax, NC 27839-0010 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366656464 | Halifax County Department of Social Services | Community/Behavioral Health | 4421 Highway 301, Halifax, NC 27839 | 2007-05-09 |
| 1538366810 | Halifax County Department of Social Services | Community/Behavioral Health | 4421 Highway 301, Halifax, NC 27839 | 2007-06-29 |
| 1124303722 | Halifax County Health Department | Dietitian, Registered | 19 North Dobbs St., Halifax, NC 27839-0010 | 2011-10-14 |
| 1003843608 | Solomon Shapiro | Family Medicine | 19 N. Dobbs Street, Halifax, NC 27839-0010 | 2006-06-27 |
| 1942434923 | Brandi N Ross | Physical Therapy Assistant | 63 S. Bradley Drive, Halifax, NC 27839-0435 | 2009-05-06 |
| 1942354303 | Life, Inc. | Intermediate Care Facility, Mentally Retarded | 117 South King Street, Halifax, NC 27839-0446 | 2007-01-23 |
| 1790803864 | Halifax County Schools | Local Education Agency (LEA) | 9525 Hwy 301 South, Halifax, NC 27839-0468 | 2007-03-27 |
| 1639517683 | Wescare Professional Services, LLC. | Community/Behavioral Health | 196 Old 125 Rd, Halifax, NC 27839-8776 | 2013-06-12 |
| 1700217056 | Rural Health Group, Inc. | Clinic/Center | 4489 Us Highway 301, Halifax, NC 27839-9510 | 2013-12-11 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407957095 | Shannon N Scearce | Nurse Practitioner | 235 N Main St, Halifax, VA 24558-2995 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811144 | Alice Bradshaw Callis | Nurse Practitioner | 110 Widgeon Dr, Currituck, NC 27929-9628 | 2020-11-04 |
| 1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
| 1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
| 1972103232 | Tauscha Alyse Gerald | Nurse Practitioner | 48 Flora Dr, Benson, NC 27504-8076 | 2020-10-27 |
| 1265031413 | Autumn Grimm | Nurse Practitioner | 511 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2020-10-20 |
| 1619576857 | Candace Allen | Nurse Practitioner | 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 | 2020-10-20 |
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1720686256 | Sheri Elizabeth Maclean | Nurse Practitioner | 117 Ivy Brook Ln, Chapel Hill, NC 27516-8084 | 2020-10-16 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
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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.