MRS. TIFFANY CHARLOTTE JENKINS (NPI# 1083846984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083846984 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY CHARLOTTE JENKINS |
| Credential | FNP |
| Practice Address |
1497 W Elk Ave Suite 21 Elizabethton TN 37643-2895 |
| Mailing Address |
Po Box 3700 Johnson City TN 37602-3700 |
| Practice Telephone | 4235427420 |
| Practice Fax Number | 4235427425 |
| Mailing Telephone | 4233021350 |
| Mailing Fax Number | 4239522145 |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2016-02-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 0024170252 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000014278 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1083846984 | 05 | |
| TN | 1515754 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619372968 | Tiffany Jenkins | Hearing Instrument Specialist | 1604 W Main St, Princeton, WV 24740-2629 | 2014-10-29 |
| 1427466358 | Tiffany M Jenkins | Counselor | 535 Route 38 Ste 123h, Cherry Hill, NJ 08002-2971 | 2014-07-23 |
| 1689099657 | Tiffany Jenkins | Counselor | 38 Post Ln, Staten Island, NY 10303-2031 | 2014-02-27 |
| 1710187042 | Tiffany Jenkins | Counselor | 130 S. Joe B. Hall Ave, Shepherdsville, KY 40165-0690 | 2007-07-24 |
| 1548307440 | Tiffany Lavette Jenkins | Counselor | 7205 Thompson Greens Ln, Charlotte, NC 28212-7949 | 2007-01-31 |
| 1962023127 | Tiffany Rose Jenkins | Student in an Organized Health Care Education/Training Program | 331 Ne Thornton Pl, Seattle, WA 98125-8021 | 2020-04-29 |
| 1316381429 | Tiffany Justine Jenkins | Counselor | 31 N Union St, Pawtucket, RI 02860-2915 | 2013-04-19 |
| 1881973071 | Tiffany M. Jenkins | Counselor | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2011-08-05 |
| 1750669107 | Tiffany Nicole Jenkins | Pharmacist | 245 State St Se, Grand Rapids, MI 49503-4348 | 2011-08-02 |
| Street Address |
1497 W ELK AVE SUITE 21 |
| City | ELIZABETHTON |
| State | TN |
| Zip Code | 37643-2895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477525699 | Buddy J Clayton | Family Medicine | 1497 W Elk Ave, Suite 11, Elizabethton, TN 37643-2895 | 2006-02-02 |
| 1225579600 | Jessica Rachel Odell | Nurse Practitioner | 1497 W Elk Ave, Suite 21, Elizabethton, TN 37643-2895 | 2017-03-17 |
| 1629432828 | Blue Ridge Medical Management Corporation | Family Medicine | 1497 W Elk Ave, Suite 20, Elizabethton, TN 37643-2895 | 2016-04-13 |
| 1467833673 | Blue Ridge Medical Management Corporation | Clinic/Center | 1497 W Elk Ave, Suite 11, Elizabethton, TN 37643-2895 | 2015-06-12 |
| 1689053753 | Blue Ridge Medical Management | Internal Medicine | 1497 W Elk Ave, Suite 20b, Elizabethton, TN 37643-2895 | 2015-05-22 |
| 1386916310 | Blue Ridge Medical Management Corporation | Internal Medicine | 1497 W Elk Ave, Suite 11a, Elizabethton, TN 37643-2895 | 2012-02-07 |
| 1457644254 | Megan D Johnson | Family Medicine | 1497 W Elk Ave, Suite 21, Elizabethton, TN 37643-2895 | 2011-05-26 |
| 1184926719 | Blue Ridge Medical Management C Orporation | Internal Medicine | 1497 W Elk Ave, Suite 20, Elizabethton, TN 37643-2874 | 2010-12-02 |
| 1043370687 | Kermit L. Dugger | Nurse Practitioner | 1497 W Elk Ave, Suite 11, Elizabethton, TN 37643-2895 | 2006-12-12 |
| 1255363347 | Elizabeth Anne Defluiter | Surgery | 1497 W Elk Ave, Suite 10, Elizabethton, TN 37643-2895 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558831115 | Blue Ridge Medical Management Corporation | Internal Medicine | 404 Bemberg Rd, Elizabethton, TN 37643 | 2018-11-27 |
| 1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
| 1437533924 | Dr. Benjamin D. Parrish and Assoc Od. PC | Optometrist | 114 S. Sycamore St, Elizabethton, TN 37643 | 2015-07-14 |
| 1972980431 | Valerie Lynn Pierce | Nurse's Aide | 101 Crowe Rd, Elizabethton, TN 37643 | 2015-05-04 |
| 1679816730 | Jeremy Meyer | Surgery | 1497 W Elk Ave Ste 10, Elizabethton, TN 37643 | 2013-03-27 |
| 1649579087 | Melinda Lynn Jennings | Pharmacist | 507 West Elk Ave, Elizbethton, TN 37643 | 2011-03-24 |
| 1588987036 | Troy Kevin Covarrubias | Driver | 219 Coal Chute Rd, Elizabethton, TN 37643 | 2010-03-11 |
| 1649502048 | Derek Charles Rhoton | Physician Assistant | 1500 West Elk Ave, Elizabethton, TN 37643 | 2010-02-10 |
| 1144456047 | Peacock Medical Equipment and Home Health Care LLC | Home Health | 1201 Highway 19 E Bypass Suite 3, Elizabethton, TN 37643 | 2009-06-05 |
| 1235386434 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1210 Militia Ct., Elizabethton, TN 37643 | 2008-08-19 |
| Find all providers in zip 37643 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149155 | Emily Morefield | Nurse Practitioner | 209 Constitution Ave, Elizabethton, TN 37643-7247 | 2020-09-16 |
| 1265059059 | Taylor Tyree | Nurse Practitioner | 1575 Broad St, Elizabethton, TN 37643-6152 | 2020-06-29 |
| 1245640085 | Amy Clark | Nurse Practitioner | 1641 Highway 19e Byp, Elizabethton, TN 37643-4646 | 2014-05-01 |
| 1508182783 | Annetta Lee Nave | Nurse Practitioner | 412 Holly Ln, Elizabethton, TN 37643-2642 | 2010-04-14 |
| 1043282502 | Beverly Ann Bradshaw | Nurse Practitioner | 2521 Beechwood Dr, Elizabethton, TN 37643-5062 | 2006-02-07 |
| 1982210928 | Bridget Mashburn | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2020-09-16 |
| 1750930400 | Kansas Jessee Krabbe | Nurse Practitioner | 1501 W Elk Ave, Elizabethton, TN 37643-2854 | 2019-09-05 |
| 1386119733 | Rebecca Morris | Nurse Practitioner | 1500 W Elk Ave, Elizabethton, TN 37643-2654 | 2018-10-11 |
| 1760965628 | Prabha Jaishwal Long | Nurse Practitioner | 1505 W Elk Ave Ste 2, Elizabethton, TN 37643-2848 | 2018-09-07 |
| 1114419728 | Alicia S Emery | Nurse Practitioner | 851 W Elk Ave, Elizabethton, TN 37643-2946 | 2018-05-31 |
| Find all providers in ELIZABETHTON | ||||
| City | ELIZABETHTON |
| Zip Code | 37643 |
Please comment or provide details below to improve the information on MRS. TIFFANY CHARLOTTE JENKINS.
| 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.