MRS. JENNIFER NICOLE SKILES (NPI# 1134784838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134784838 |
Entity Type | Individual |
Full Name | MRS. JENNIFER NICOLE SKILES |
Credential | FNP |
Practice Address |
705 E Marshall Ave Ste 3000 Longview TX 75601-5661 |
Mailing Address |
705 E Marshall Ave Ste 3000 Longview TX 75601-5661 |
Practice Telephone | 9033152700 |
Mailing Telephone | 9033152700 |
Mailing Fax Number | 9032362575 |
Enumeration Date | 2019-05-08 |
Last Update Date | 2019-06-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
A140574 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
705 E MARSHALL AVE STE 3000 |
City | LONGVIEW |
State | TX |
Zip Code | 75601-5661 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780712257 | Jennifer Boynton | Nurse Practitioner | 705 E Marshall Ave Ste 3000, Longview, TX 75601 | 2007-02-28 |
1770122681 | Longview Wellness Center, Inc. | Clinic/Center | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2019-12-26 |
1336788355 | Longview Wellness Center, Inc. | Obstetrics & Gynecology | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2019-12-23 |
1891280277 | Special Health Resources for Texas Incorporated | Clinic/Center | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2018-06-27 |
1104328947 | Laura Childress | Nurse Practitioner | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2018-03-07 |
1356715981 | Gabrielle Misenheimer | Advanced Practice Midwife | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2015-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
Find all providers in zip 75601 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104328947 | Laura Childress | Nurse Practitioner | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2018-03-07 |
1487089108 | Sarah E Gough | Nurse Practitioner | 802 Medical Circle, Suite 100, Longview, TX 75605-5100 | 2013-09-12 |
1790051548 | Wendy Mckinnon | Nurse Practitioner | 1761 W Loop 281, Longview, TX 75604-2734 | 2012-03-27 |
1780987289 | Margaret M Dodson | Nurse Practitioner | 410 N 4th St, Longview, TX 75601-6511 | 2010-12-06 |
1346556420 | Patricia Brooke Simmons | Nurse Practitioner | 705 E Marshall Ave, Suite 3000, Longview, TX 75601-5573 | 2010-08-26 |
1801100201 | Kathleen Anne Wirtz | Nurse Practitioner | 1655 Hudson St Ste 1, Longview, WA 98632-2949 | 2010-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942809074 | Christine Depardo | Nurse Practitioner | 6161 State Hwy 161 Fl 3, Irving, TX 75038-2220 | 2020-10-20 |
1457968232 | Brenda Lynn Franke | Nurse Practitioner | 1501 Creekside Dr, Richardson, TX 75081-2913 | 2020-09-25 |
1073127031 | Jennifer Barbosa | Nurse Practitioner | 6065 Sports Village Rd Ste 600, Frisco, TX 75033-3591 | 2020-09-06 |
1619594744 | Elm Midwifery and Womens Health LLC | Nurse Practitioner | 4458 Medical Dr Ste 470, San Antonio, TX 78229-3748 | 2020-07-06 |
1417571969 | Viviana S Navar | Nurse Practitioner | 1440 George Dieter Dr # A, El Paso, TX 79936-7601 | 2020-06-01 |
1457988461 | Sarah Elizabeth Higgins | Nurse Practitioner | 8060 Park Ln, Dallas, TX 75231-5912 | 2020-03-27 |
1235779760 | Tracy Woods | Nurse Practitioner | 5846 Piedmont Gln, San Antonio, TX 78249-4876 | 2020-01-13 |
1801436340 | Sarah Olivia Menotti | Nurse Practitioner | 3828 Hughes Ct Ste 104, Dickinson, TX 77539-6235 | 2020-01-13 |
1902457302 | Dalia Paul | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Road, Suite 3, Mcallen, TX 78503 | 2019-09-26 |
1255982260 | Betty Philips | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Rd, Suite 3, Mcallen, TX 78503 | 2019-09-23 |
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.