Jessica L Kennemer (NPI# 1861625691, PAC ID# 4082753793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1861625691 |
| PAC ID by PECOS | 4082753793 |
| Professional Enrollment ID | I20091209000042 |
| Full Name | Jessica L Kennemer |
| Organization Legal Name | CLINTON HMPN, LLC |
| Address |
90 N 30th St Clinton OK 73601-3100 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9931360427 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370029 | ALLIANCEHEALTH CLINTON |
| 370019 | GREAT PLAINS REGIONAL MEDICAL CENTER |
| 370028 | INTEGRIS BAPTIST MEDICAL CENTER, INC |
| 370093 | OU MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 209 S 30th St, Clinton, OK 73601-3657 | 5803237300 | CLINTON HMPN, LLC |
| 90 N 30th St, Clinton, OK 73601-3100 | CLINTON HMPN, LLC |
| Organization Legal Name | CLINTON HMPN, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vicki Blodgett | Certified Registered Nurse Anesthetist (crna) | Clinton Hmpn, LLC | 90 N 30th St, Clinton, OK 73601-3100 |
| Michael C Hensley | Obstetrics/gynecology | Clinton Hmpn, LLC | 90 N 30th St, Clinton, OK 73601-3100 |
| Lela Dawn Cupp | Certified Nurse Midwife (cnm) | Clinton Hmpn, LLC | 90 N 30th St, Clinton, OK 73601-3100 |
| Tannous K Fakhry | General Surgery | Clinton Hmpn, LLC | 90 N 30th St, Clinton, OK 73601-3100 |
| Street Address |
90 N 30TH ST |
| City | CLINTON |
| State | OK |
| Zip | 73601-3100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark B Mann | Family Medicine | 90 N 30th St, Suite 4, Clinton, OK 73601-3100 | |
| Vicki Blodgett | Certified Registered Nurse Anesthetist (crna) | Clinton Hmpn, LLC | 90 N 30th St, Clinton, OK 73601-3100 |
| Michael C Hensley | Obstetrics/gynecology | Clinton Hmpn, LLC | 90 N 30th St, Clinton, OK 73601-3100 |
| Lela Dawn Cupp | Certified Nurse Midwife (cnm) | Clinton Hmpn, LLC | 90 N 30th St, Clinton, OK 73601-3100 |
| Victor Ludwig Fey | Family Medicine | 90 N 30th St, Suite 1, Clinton, OK 73601-3100 | |
| Tannous K Fakhry | General Surgery | Clinton Hmpn, LLC | 90 N 30th St, Clinton, OK 73601-3100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark William Mccurry | Family Medicine | Ess of Clinton LLC | 100 N 30th St, Alliancehealth Clinton, Clinton, OK 73601-3117 |
| Sean G Larsen | Emergency Medicine | Oklahoma Emergency Physician Partners Pllc | 100 N 30th St, Integris Clinton Regional Hospital, Clinton, OK 73601-3117 |
| Robert E Reynolds | Medical Oncology | Robert Reynolds, M.d., P.C. | 100 N 30th St, Clinton, OK 73601-3117 |
| Jeffrey Raines | Emergency Medicine | Oklahoma Emergency Physician Partners Pllc | 100 N 30th St, Integris Clinton Regional Hospital, Clinton, OK 73601-3117 |
| James M Wiley | Family Medicine | Ess of Clinton LLC | 100 N 30th St, Alliancehealth Clinton, Clinton, OK 73601-3117 |
| Max Joseph Cieminski | Emergency Medicine | Oklahoma Emergency Physician Partners Pllc | 100 N 30th St, Integris Clinton Regional Hospital, Clinton, OK 73601-3117 |
| Denny S. Thomas | Emergency Medicine | Oklahoma Emergency Physician Partners Pllc | 100 N 30th St, Integris Clinton Regional Hospital, Clinton, OK 73601-3117 |
| Thomas E Cashero | General Surgery | 100 N 30th St, Clinton, OK 73601-3117 | |
| David E Bishop | Family Medicine | Ess of Clinton LLC | 100 N 30th St, Alliancehealth Clinton, Clinton, OK 73601-3117 |
| Sanjaykumar J Hapani | Medical Oncology | Robert Reynolds, M.d., P.C. | 100 N 30th St, Clinton, OK 73601-3117 |
| Find all physicians in zip 73601 | |||
| City | CLINTON |
| Zip Code | 73601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLINTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica L Kennemer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.