GLORIA LEE KENT


Address: 100 Mission Boulevard, Suite 2800, Jackson, CA 95642-2147
Phone: 2092570177

GLORIA LEE KENT (NPI# 1134117963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134117963
Entity Type Individual
Full Name GLORIA LEE KENT
Credential RN,CNP
Practice Address 100 Mission Boulevard
Suite 2800
Jackson
CA 95642-2147
Mailing Address 10470 Old Placerville Rd
Suite 100
Sacramento
CA 95827-2539
Practice Telephone 2092570177
Practice Fax Number 2092570176
Mailing Telephone 8004700071
Enumeration Date 2005-10-06
Last Update Date 2015-07-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
226867/12812 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 100 MISSION BOULEVARD
SUITE 2800
City JACKSON
State CA
Zip Code 95642-2147

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NPI Name Taxonomy Address Enumeration
1932666575 Gold Country Health Initiative, LLC Family Medicine 820/830 State Highway 88, Jackson, CA 95642 2019-03-01
1053844902 Kathryn Erosa Pharmacist 515 Highway 49 South, Jackson, CA 95642 2017-04-07
1356882039 Thomas Alan Bowhay Clinic/Center 820 Highway 88, Jackson, CA 95642 2017-03-15
1710130141 Roland E Womack Dentist 511 Sutter St, Jackson, CA 95642 2008-10-29
1508929522 Stanley M Ordonez Dentist 645 New York Ranch Rd, Jackson, CA 95642 2006-12-19
1942374996 Thomas W Zeiler Chiropractor 665 New York Ranch Rd Suite 2, Jackson, CA 95642 2006-11-20
1023188968 Cordelia Rose Slayter Physical Therapist 711 S State Hwy 49, Jackson, CA 95642 2006-11-08
1285744946 Raleys Pharmacy 781 South Highway 49, Jackson, CA 95642 2006-08-30
1316996747 Robert R. Bussell X Physical Therapist 813 Court Street, Ste 2, Jackon, CA 95642 2006-05-10
1861953135 Chelsea Yule Solutions Clinic/Center 230 N Main St, Jackson, CA 95642 2019-03-28
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225675952 Victoria Delores Brown Nurse Practitioner 5155 Keele St Apt 22d, Jackson, MS 39206-4331 2019-12-02
1609255520 Neta J Roby Nurse Practitioner Hwy 36, Georgia Diagnostic Classification Prison, Jackson, GA 30233 2015-05-26
1346652377 Rachel Nichole Ford Nurse Practitioner 5963 I 55 N, Jackson, MS 39213-9722 2014-05-26
1760601967 Kimberly Lynne Schlagel Nurse Practitioner 1200 N State St Ste 430, Jackson, MS 39202-2027 2007-04-25
1265966634 Tayler M Johnston Nurse Practitioner 72 Physicians Dr, Jackson, TN 38305 2017-04-12
1891236725 Christina Purviance Nurse Practitioner 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 2017-03-11
1407273071 Lisa Rudd Nurse Practitioner 3305 Spring Arbor Rd, Jackson, MI 49203-3794 2014-03-21
1447689799 Jessica L Rider Nurse Practitioner 244 Coatsland Dr, Jackson, TN 38301-3948 2013-11-07
1154669786 Lakendria Zollicoffer Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2013-01-16
1659615557 Zenotha Larry Nurse Practitioner 3502 W Northside Dr, Jackson, MS 39213-4454 2012-11-15
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Competitor

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City JACKSON
Zip Code 95642

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Dataset Information

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.

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