EMILY JO JENNINGS (NPI# 1871070797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871070797 |
| Entity Type | Individual |
| Full Name | EMILY JO JENNINGS |
| Credential | APN |
| Practice Address |
3225 Hedley Rd Springfield IL 62711 |
| Mailing Address |
Po Box 3428 Springfield IL 62708-3428 |
| Practice Telephone | 2177267300 |
| Practice Fax Number | 2177265989 |
| Mailing Telephone | 2175882624 |
| Mailing Fax Number | 2177572021 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209.017973 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RN LICENSE | 041402770 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528569225 | Emily Katherine Jennings | Counselor | 4629 Clarks Ferry Rd, Draper, VA 24324-2805 | 2018-02-27 |
| 1770111031 | Emily Jennings | Student in an Organized Health Care Education/Training Program | Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2020-03-31 |
| 1295282036 | Emily Jennings | Counselor | 490 E Ridge Rd, Rochester, NY 14621-1229 | 2016-09-09 |
| 1407279599 | Emily S Jennings | Lactation Consultant, Non-RN | 400 S University Ave, Suite B, Room C, Mount Pleasant, MI 48858-3170 | 2014-01-27 |
| 1639441140 | Emily Smith Jennings | Counselor | 725 Highland Ave, Suite 100, Winston Salem, NC 27101-4180 | 2012-01-30 |
| 1356489017 | Emily Ann Jennings | Case Manager/Care Coordinator | 109 West Watauga Avenue, Johnson City, TN 37604 | 2007-02-02 |
| 1700968542 | Emily G Jennings | Physician Assistant | 699 W Cocoa Beach Cswy, Suite 403, Cocoa Beach, FL 32931-3577 | 2006-10-20 |
| Street Address |
3225 HEDLEY RD |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447265145 | Rodica S Brisan | Psychiatry & Neurology | 3225 Hedley Rd, Springfield, IL 62711-6248 | 2006-07-30 |
| 1356903637 | Carrie Mccormick | Registered Nurse | 3225 Hedley Rd, Springfield, IL 62711-6248 | 2019-07-08 |
| 1467939140 | Constance A Habenschuss | Nurse Practitioner | 3225 Hedley Rd, Springfield, IL 62711-6248 | 2018-07-25 |
| 1396269700 | Amanda M Mavis | Nurse Practitioner | 3225 Hedley Rd, Springfield, IL 62711-6248 | 2017-07-27 |
| 1265971741 | Denise Klemm | Social Worker | 3225 Hedley Rd, Springfield, IL 62711-6248 | 2017-02-17 |
| 1285060004 | Jaime Louise Jensen-cole | Nurse Practitioner | 3225 Hedley Rd, Springfield, IL 62711-6248 | 2013-09-25 |
| 1356625966 | Vine Street Clinical Associates, LLC | Clinical Nurse Specialist | 3225 Hedley Rd, Springfield, IL 62711-6248 | 2011-09-30 |
| 1356645717 | Richard Schenkelberg | Psychiatry & Neurology | 3225 Hedley Rd, Springfield, IL 62711-6248 | 2010-12-28 |
| 1265674162 | Kuldeep Singh | Psychiatry & Neurology | 3225 Hedley Rd, Springfield, IL 62711-6248 | 2009-03-24 |
| 1689813206 | Patricia A Fehr | Counselor | 3225 Hedley Rd, Springfield, IL 62711-6248 | 2009-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057220 | Merissa Pryor | Social Worker | 4200 Conestoga Drive, Mbn 120, Springfield, IL 62711 | 2018-06-17 |
| 1255884623 | Dental Professionals of Illinois, P.C. | Dentist | 2740 Prairie Crossing Drive, Springfield, IL 62711 | 2016-08-02 |
| 1841682424 | Americare At Centennial Pointe Assisted Living LLC | Assisted Living Facility | 3440 Hedley Road, Springfield, IL 62711 | 2015-02-19 |
| 1306249248 | Schon Dental, LLC | Dentist | 2809 Mansion Road Suite D, Springfield, IL 62711 | 2014-10-07 |
| 1891105490 | John Weiss | Pharmacist | 4200 Conestoga Drive, Springfield, IL 62711 | 2014-05-05 |
| 1720350689 | Victor Harold Lary | Family Medicine | 3251 Spaulding Orchard Road, Springfield, IL 62711 | 2012-02-07 |
| 1902181795 | Amanda Rose Davis | Pharmacist | 2500 Koke Mill Rd, Springfield, IL 62711 | 2011-10-12 |
| 1316233703 | Karen Zerkle | Dentist | 2809 Mansion Rd, Suite D, Springfield, IL 62711 | 2011-06-23 |
| 1255520557 | Link Chiropractic LLC | Chiropractor | 7012 Kingsmill Ct, Springfield, IL 62711 | 2007-10-23 |
| 1669688230 | Victoria Lynn Driskill | Dentist | 4701 W. Wabash Ave, Springfield, IL 62711 | 2007-05-14 |
| Find all providers in zip 62711 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217873 | Ifeoma E Iherobiem | Nurse Practitioner | 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 | 2020-08-28 |
| 1477178978 | Eric Avent | Nurse Practitioner | 111 5th Ave W Ste 103, Springfield, TN 37172-2428 | 2020-06-10 |
| 1043722770 | Mary Catherine Knutson | Nurse Practitioner | 1201 S 4th St, Springfield, IL 62703-2228 | 2017-11-03 |
| 1922422617 | Azuka Ofodike | Nurse Practitioner | 31 Tooker Pl, Springfield, NJ 07081-2227 | 2014-02-14 |
| 1306117189 | Mark Anthony Lynch | Nurse Practitioner | 7108 Neuman St, Springfield, VA 22150-4419 | 2012-01-25 |
| 1609100973 | Cindy Michael | Nurse Practitioner | 841 E Northern Ave, Springfield, OH 45503-3848 | 2009-09-18 |
| 1811097058 | Jain A Lattes | Nurse Practitioner | 3300 Main St Fl 4, Springfield, MA 01107-1112 | 2006-09-25 |
| 1174540504 | Johnson Komolafe | Nurse Practitioner | 7011 Calamo St, #105, Springfield, VA 22150 | 2006-07-15 |
| 1083648604 | Dawn M Vanderhoef | Nurse Practitioner | 713 Cheatham St, Springfield, TN 37172-2828 | 2006-07-10 |
| 1316992019 | Ruben Montanez | Nurse Practitioner | 1695 Main St Fl 400, Springfield, MA 01103-1063 | 2006-05-23 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62711 |
Please comment or provide details below to improve the information on EMILY JO JENNINGS.
| 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.