JEANINE JANIS (NPI# 1891237178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891237178 |
| Entity Type | Individual |
| Full Name | JEANINE JANIS |
| Credential | MSN, APRN, FNP-C |
| Practice Address |
304 W Nc Highway 24 Roseboro NC 28382-8684 |
| Practice Telephone | (910) 525-5848 |
| Mailing Telephone | (910) 525-5848 |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
107872 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
9302645 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12126 Lake Allen Dr, Largo, FL 337732929 | 7274810324 |
| Street Address |
304 W NC HIGHWAY 24 |
| City | ROSEBORO |
| State | NC |
| Zip Code | 28382-8684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437108628 | Shawn Michael Howerton | Family Medicine | 304 W Nc Highway 24, Roseboro, NC 28382-8684 | 2006-05-08 |
| 1396770392 | Howerton Family Medicine, Pa | Family Medicine | 304 W Nc Highway 24, Roseboro, NC 28382-8684 | 2006-07-11 |
| 1689623878 | Amy Kathryn Straiko-howerton | Family Medicine | 304 W Nc Highway 24, Roseboro, NC 28382-8684 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922373174 | Lisa Smith | Pharmacist | 218 Martin Luther King Jr. Hwy, Roseboro, NC 28382 | 2012-03-20 |
| 1023321874 | Thomas Latham West | Pharmacist | 218 Mlk Jr Hwy, Roseboro, NC 28382 | 2010-07-22 |
| 1942497086 | Upscale Residential Care, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 614 North Maple Place, Roseboro, NC 28382 | 2007-10-03 |
| 1033243761 | Lewis Treatment Facility | Residential Treatment Facility, Emotionally Disturbed Children | 116 Marion-amos Road, Roseboro, NC 28382 | 2007-03-15 |
| 1952470999 | Atlantic Radiology Associates | Radiology | 105 West Street, Roseboro, NC 28382 | 2006-11-06 |
| 1922184779 | Mathew John Schmitt | Dentist | 401 Hwy 24 West, Roseboro, NC 28382 | 2006-10-27 |
| 1356451058 | Kerr Drug Inc | Pharmacy | 218 W Martin Luther King Blvd, Roseboro, NC 28382 | 2006-08-30 |
| 1285740142 | Powells Medical Facility | Medical Genetics, Ph.D. Medical Genetics | 201 W Clinton St, Roseboro, NC 28382 | 2006-08-22 |
| 1053326686 | Tart and West Druggists | Pharmacy | 110 Roseboro St, Roseboro, NC 28382 | 2006-07-30 |
| 1467888313 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 218 W Martin Luther King Blvd, Roseboro, NC 28382 | 2013-09-24 |
| Find all providers in zip 28382 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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.