JENNIFER ANN PETTY (NPI# 1932276466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932276466 |
| Entity Type | Individual |
| Full Name | JENNIFER ANN PETTY |
| Credential | NP |
| Practice Address |
1123 North Castleheights Avenue Suite H Lebanon TN 37087-1510 |
| Mailing Address |
1123 N Castle Heights Ave Suite H Lebanon TN 37087-5724 |
| Practice Telephone | 6154432273 |
| Practice Fax Number | 6154493111 |
| Mailing Telephone | 6154432273 |
| Mailing Fax Number | 6154493111 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APN0000011466 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033563028 | Jennifer Petty | Counselor | 1817 Queen Anne Ave N Ste 313, Seattle, WA 98109-2876 | 2016-04-16 |
| 1316366958 | Jennifer Petty | Case Manager/Care Coordinator | 107 E Crandall Ave, Suite B, Harrison, AR 72601-3629 | 2014-04-10 |
| 1013236009 | Jennifer Sharell Petty | Pharmacist | 5108 Norwood Ave, Jacksonville, FL 32208-5032 | 2010-05-31 |
| 1306085196 | Jennifer Petty | Specialist/Technologist | 4160 Grand View Blvd, Los Angeles, CA 90066-5214 | 2009-02-18 |
| Street Address |
1123 NORTH CASTLEHEIGHTS AVENUE SUITE H |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932525839 | Lindsay Schommer | Nurse Practitioner | 1 Medical Center Dr - Neurology, Dartmouth-hitchcock Medical Center, Lebanon, NH 03756-0001 | 2014-03-16 |
| 1598016958 | Kevin P Kalnoski | Nurse Practitioner | 864 Jay St, Lebanon, PA 17046-1924 | 2012-09-26 |
| 1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
| 1184785826 | Jane Shelby Pierce | Nurse Practitioner | 1432 W Main St, Suite 700, Lebanon, TN 37087-1323 | 2006-12-13 |
| 1124645536 | Christina Lynne Cohee | Nurse Practitioner | 2505 N Lebanon St Ste 220, Lebanon, IN 46052-8611 | 2020-07-01 |
| 1558987560 | Kimberly Ruth Haller | Nurse Practitioner | 1 Medical Center Drive, Lebanon, NH 03756 | 2020-06-25 |
| 1477180552 | Catherine Anton | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-03-26 |
| 1043772932 | Connesuala Powers | Nurse Practitioner | 115 Winwood Dr Ste 205, Lebanon, TN 37087-1399 | 2019-04-01 |
| 1033692850 | Alexa Ruppert Holleran | Nurse Practitioner | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2018-09-07 |
| 1811487630 | Elaine Walker | Nurse Practitioner | One Medical Center Drive, 4m Wound Care Center, Lebanon, NH 03756-0001 | 2018-05-17 |
| Find all providers in LEBANON | ||||
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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.