JILLIAN FITCH (NPI# 1922334416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922334416 |
| Entity Type | Individual |
| Full Name | JILLIAN FITCH |
| Credential | M.A. |
| Practice Address |
2719 Graves Dr Ste 7 Goldsboro NC 27534-4536 |
| Mailing Address |
217 W Lockhaven Dr Apt G Goldsboro NC 27534-1689 |
| Practice Telephone | 9195838448 |
| Practice Fax Number | 9195838449 |
| Mailing Telephone | 5853223962 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3838 | NC | Behavioral Health & Social Service Providers |
| Street Address |
2719 GRAVES DR STE 7 |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-4536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255570289 | Sally L Grant | Counselor | 2719 Graves Dr Ste 7, Goldsboro, NC 27534-4536 | 2009-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225431356 | Calvin Graham | Psychologist | 501 Shelley Dr, Goldsboro, NC 27534-3251 | 2014-10-03 |
| 1528113446 | Alisa R Young | Psychologist | 1700 E Ash St Ste 203, Goldsboro, NC 27530-4097 | 2007-01-23 |
| 1316988959 | James T. Smith | Psychologist | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2006-06-08 |
| 1790757698 | Teresa A Poole | Psychologist | 692 N Spence Ave, Suite B, Goldsboro, NC 27534-4339 | 2006-02-03 |
| 1316938731 | Jonathan Alan Barnes | Psychologist | 301 Violeta Cir, Goldsboro, NC 27534-3245 | 2005-11-03 |
| 1811349699 | Astrid Ertola | Psychologist | 201 Stevens Mill Rd, Goldsboro, NC 27530-1056 | 2016-07-06 |
| 1508213158 | Cynthia Lewis | Psychologist | 1401 W Ash St, Goldsboro, NC 27530-1078 | 2016-05-24 |
| 1518220185 | Cynthia Koempel | Psychologist | 201 Stevens Mill Rd, Goldsboro, NC 27530-1056 | 2012-06-19 |
| 1508130576 | Natalie A. Kemp | Psychologist | 1214 Parkway Dr, Goldsboro, NC 27534-3448 | 2012-03-08 |
| 1336343664 | Teresa A. Poole, Ph.d., Pa | Psychologist | 692 N Spence Ave, Suite B, Goldsboro, NC 27534-4339 | 2007-06-12 |
| Find all providers in GOLDSBORO | ||||
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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.