MRS. JENNY ANNE ADDISON (NPI# 1831522150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831522150 |
| Entity Type | Individual |
| Full Name | MRS. JENNY ANNE ADDISON |
| Other Name | JENNY ANNE REILLY |
| Credential | RN, MSN, FNP-BC |
| Practice Address |
11635 N Main St Suite E Archdale NC 27263-3270 |
| Mailing Address |
5986 Hollow Wood Ct Winston Salem NC 27104-3771 |
| Practice Telephone | 3368614110 |
| Mailing Telephone | 3369723830 |
| Enumeration Date | 2013-08-11 |
| Last Update Date | 2013-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
222777 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11635 N MAIN ST SUITE E |
| City | ARCHDALE |
| State | NC |
| Zip Code | 27263-3270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487604831 | Mark Craig Beck | Family Medicine | 11635 N Main St, Ste E, Archdale, NC 27263 | 2006-05-10 |
| 1356778716 | Easter Seals Ucp North Carolina & Virginia | Case Management | 11635 N Main St, Ste A, Archdale, NC 27263-3270 | 2013-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639635725 | Home Care Premier Services, LLC | In Home Supportive Care | 10948e N. Main St, Archdale, NC 27263 | 2019-02-14 |
| 1740667807 | One Care Nc Inc | Home Health | 104418 North Main St, Archdale, NC 27263 | 2015-04-28 |
| 1720327968 | The Heag Pain Management Center Pa | Anesthesiology | 106 Baker Road, Archdale, NC 27263 | 2013-02-07 |
| 1548528177 | Christine Marie Enderlin | Counselor | 5373 Johnson Street, Archdale, NC 27263 | 2012-05-02 |
| 1922382654 | David Alan Rappaport | Pharmacist | 2850 South Main Street, Suite 101, High Point, NC 27263 | 2011-09-29 |
| 1508190430 | Carolina Drug of Randolph County LLC | Pharmacy | 10102 Unit S, South Main Street, Archdale, NC 27263 | 2009-09-24 |
| 1003064528 | Kenny Clinic of Chiropractic, P.a. | Chiropractor | 2400 S. Main St., High Point, NC 27263 | 2008-09-09 |
| 1689750234 | John David Ellington | Dentist | 3203 Archdale Rd, Archdale, NC 27263 | 2006-10-27 |
| 1831270214 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2628 S. Main Street, High Point, NC 27263 | 2006-10-18 |
| 1639262488 | Earnst Clinic Inc | Chiropractor | 231 Baker Road, High Point, NC 27263 | 2006-10-02 |
| Find all providers in zip 27263 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893344 | Joanna Lindsay | Nurse Practitioner | 10100 S Main St, Archdale, NC 27263-3134 | 2019-07-18 |
| 1235538836 | John Conrad Withrow | Nurse Practitioner | 207 Balfour Dr, Ste 102, Archdale, NC 27263-3532 | 2014-08-19 |
| 1669887774 | Crystal Montague | Nurse Practitioner | 10100 S Main St, Archdale, NC 27263-3134 | 2014-06-26 |
| 1699187682 | Julia Brower Mcilquham | Nurse Practitioner | 10100 S Main St, Archdale, NC 27263-3134 | 2014-05-23 |
| 1104183110 | Rpj Connections, Pllc | Nurse Practitioner | 6447 Muddy Creek Rd, Archdale, NC 27263-3925 | 2012-04-13 |
| 1740569532 | Melissa Cecil Watson | Nurse Practitioner | 10100 S Main St, Archdale, NC 27263-3134 | 2011-08-10 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.