JENNIFER BREATHITT (NPI# 1932749561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932749561 |
| Entity Type | Individual |
| Full Name | JENNIFER BREATHITT |
| Credential | APRN |
| Practice Address |
4542 W Wedge Dr Fayetteville AR 72704-7532 |
| Practice Telephone | 4794096096 |
| Mailing Telephone | 4794096096 |
| Enumeration Date | 2020-01-11 |
| Last Update Date | 2020-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
A006218 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4542 W WEDGE DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72704-7532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387037 | Anne-ashley Hull | Speech-Language Pathologist | 12905 Randolph Road, Fayetteville, AR 72704 | 2020-05-07 |
| 1427607019 | Destiny Bound, LLC | Midwife | 3825 N Salem Road, Fayetteville, AR 72704 | 2019-09-06 |
| 1043796881 | Travis Alexander | Physical Therapist | 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 | 2018-07-16 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1346744232 | Wedington Dental, Pllc | Clinic/Center | 3500 Black Forest Drvie, Ste 1, Fayetteville, AR 72704 | 2018-03-23 |
| 1528410487 | Sharon Byrd | Licensed Practical Nurse | 17836 Harmon Rd, Fayetteville, AR 72704 | 2016-07-05 |
| 1861823502 | Andrea Warren | Pharmacist | 2875 W Martin Luther King Jr Blvd, Fayetteville, AR 72704 | 2013-12-05 |
| 1609157726 | Jessica Rose Collier | Speech-Language Pathologist | 2020 E Joyce Ave., Suite 2, Fayetteville, AR 72704 | 2011-09-02 |
| 1194044941 | Wcnc, Inc. | Skilled Nursing Facility | 4405 Persimmon Street, Fayetteville, AR 72704 | 2010-05-19 |
| 1841512944 | Jill K Johnston | Speech-Language Pathologist | 3472 N Sandpiper Dr, Fayetteville, AR 72704 | 2010-02-17 |
| Find all providers in zip 72704 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1124666482 | Martha Lynn Brawner | Nurse Practitioner | 2882 N Bermuda Ave, Fayetteville, AR 72704-6034 | 2019-12-18 |
| 1437614013 | Michelle N Holder | Nurse Practitioner | 249 Otter Cir, Fayetteville, GA 30215-5264 | 2019-02-07 |
| 1730684960 | Kasondra Mcdonald | Nurse Practitioner | 117 Chadwick Farms Dr, Fayetteville, TN 37334-6081 | 2018-03-29 |
| 1265985931 | Stephanie R Rives | Nurse Practitioner | 18 Ivy Dr, Fayetteville, TN 37334-7287 | 2016-07-29 |
| 1538413646 | Joseph Patrick Madelone | Nurse Practitioner | 202 Cleveland Blvd, Fayetteville, NY 13066-1104 | 2012-10-29 |
| 1063048817 | Kenita Davis | Nurse Practitioner | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2020-03-12 |
| 1780218206 | Tara Howerton | Nurse Practitioner | 3276 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2020-02-24 |
| 1861025173 | Laura Droke | Nurse Practitioner | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2020-02-14 |
| 1063043578 | Lori Atchley Mitchell | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2020-02-03 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72704 |
Please comment or provide details below to improve the information on JENNIFER BREATHITT.
| 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.