MRS. JENNIFER M BENNETT (NPI# 1053717710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053717710 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER M BENNETT |
| Credential | NP-C |
| Practice Address |
1333 S Dickinson Dr Unit 140 Leland NC 28451-6434 |
| Mailing Address |
4402 Shipyard Blvd Wilmington NC 28403-6161 |
| Practice Telephone | 9103413300 |
| Practice Fax Number | 9102512067 |
| Mailing Telephone | (910) 452-1400 |
| Enumeration Date | 2014-11-07 |
| 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 |
5007317 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4402 Shipyard Blvd, Wilmington, NC 284036161 | 9104521400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026007 | Jennifer Bennett | Speech-Language Pathologist | 225 Chaco Canyon Dr, Henderson, NV 89074-1987 | 2020-02-26 |
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1497224794 | Jennifer Christine Bennett | Occupational Therapy Assistant | 3016 Corona Dr, Holiday, FL 34690-2212 | 2018-11-15 |
| 1134600125 | Jennifer Bennett | Student in an Organized Health Care Education/Training Program | 20 Westgate Dr, San Francisco, CA 94127-2738 | 2018-08-27 |
| 1386138600 | Jennifer M Bennett | Specialist | 46691 Cavendish Sq, Sterling, VA 20165 | 2018-06-20 |
| 1588166037 | Jennifer Bennett | Counselor | 100 Elmwood Park Dr. Suite 201, Dayton, OH 45449 | 2018-03-01 |
| 1396282281 | Jennifer Bennett | Speech-Language Pathologist | 5308 Serene Forest Dr, Apex, NC 27539-4128 | 2017-01-30 |
| 1639536568 | Jennifer Bennett | Pharmacist | 977 W Will Rogers Blvd, Claremore, OK 74017-5040 | 2016-01-22 |
| 1972970218 | Jennifer Bennett | Occupational Therapist | 15325 S Lone Elm Rd, Olathe, KS 66061-5416 | 2015-08-21 |
| 1811389992 | Jennifer Bennett | Speech-Language Pathologist | 415 N Nickelplate St, Louisville, OH 44641-1567 | 2015-02-25 |
| Street Address |
1333 S DICKINSON DR UNIT 140 |
| City | LELAND |
| State | NC |
| Zip Code | 28451-6434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750376356 | Lekeshia Williams Jarrett | Family Medicine | 1333 S Dickinson Dr Unit 140, Leland, NC 28451-6434 | 2005-09-20 |
| 1356849111 | Jesse Michael Myers | Physician Assistant | 1333 S Dickinson Dr Unit 140, Leland, NC 28451-6434 | 2018-01-26 |
| 1962838979 | Kristin Jean Pleasant | Nurse Practitioner | 1333 S Dickinson Dr Unit 140, Leland, NC 28451-6434 | 2013-09-23 |
| 1669610242 | Stephanie Lynn Collins | Physician Assistant | 1333 S Dickinson Dr Unit 140, Leland, NC 28451-6434 | 2009-02-04 |
| 1982780722 | Robert Ray Johnson Jr. | Family Medicine | 1333 S Dickinson Dr Unit 140, Leland, NC 28451-6434 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811427156 | Town of Leland | Ambulance | 1004 Village Rd, Leland, NC 28451 | 2017-06-19 |
| 1205389517 | Total Renal Care of North Carolina LLC | Clinic/Center | 1220 Magnolia Village Way, Leland, NC 28451 | 2016-08-03 |
| 1043696800 | William Sanders Sr. | Respite Care | 3043 Ramble Dr, Leland, NC 28451 | 2015-08-04 |
| 1457730707 | Devinn L Geeson | Dentist | 1215 Westgate Drive, Suite 180, Leland, NC 28451 | 2015-05-20 |
| 1740611706 | Mark C. Austin Omfs, Pllc | Oral & Maxillofacial Surgery | 2001 South Baxter Drive, Leland, NC 28451 | 2013-12-02 |
| 1750711123 | Donna Rose Hodnicki | Nurse Practitioner | 1132 East Cutler Crossing, Leland, NC 28451 | 2013-11-20 |
| 1992137996 | Abbey Jones Mcclanahan | Physical Therapist | 1003 Olde Waterford Way # B, Leland, NC 28451 | 2013-08-01 |
| 1306010780 | Walter B. Futch, Jr. Dds Pa | Dentist | 1006 Northgate Drive, Leland, NC 28451 | 2008-04-17 |
| 1639357429 | Sbh- Wilmington, LLC | Psychiatric Hospital | 2050 Mercantile Drive, Leland, NC 28451 | 2008-02-05 |
| 1396930137 | F.a.c. Group Homes, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 9485 Huckabee Ct, Leland, NC 28451 | 2007-09-13 |
| Find all providers in zip 28451 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750711123 | Donna Rose Hodnicki | Nurse Practitioner | 1132 East Cutler Crossing, Leland, NC 28451 | 2013-11-20 |
| 1255468781 | Shannon Bardin Phelps | Nurse Practitioner | 110a Village Rd Ne, Leland, NC 28451-7412 | 2007-02-28 |
| 1134164916 | Heather Lloyd | Nurse Practitioner | 201 Baker Blvd, Leland, MS 38756 | 2006-06-17 |
| 1336490713 | Lacie A Brackeen | Nurse Practitioner | 201 Baker Blvd, Leland, MS 38756-3401 | 2012-09-26 |
| 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.