DR. SUSAN B JENSEN (NPI# 1174991384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174991384 |
| Entity Type | Individual |
| Full Name | DR. SUSAN B JENSEN |
| Credential | DNP, CPNP-PC |
| Practice Address |
Sneads Ferry Pediatric & Family Care 108 Lakeside Dr Sneads Ferry NC 28460 |
| Mailing Address |
120 Memorial Dr Jacksonville NC 28546-6328 |
| Practice Telephone | 9103275437 |
| Practice Fax Number | 9103275436 |
| Mailing Telephone | 9103530581 |
| Mailing Fax Number | 9103531536 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
285575 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AC001611 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669961769 | Susan Jensen | Behavior Technician | 1910 Olympic Blvd Ste 140-150, Walnut Creek, CA 94596-5096 | 2018-05-03 |
| 1770097131 | Susan Jensen | Social Worker | 1204 Highway 164e, Oquawka, IL 61469 | 2017-11-21 |
| 1841541463 | Susan E Jensen | Nurse Practitioner | 13090 N. 94th Dr, Suite 101, Peoria, AZ 85381-4257 | 2012-09-21 |
| 1700198363 | Susan Mcquirk Jensen | Speech-Language Pathologist | 758 E Portals Ave, Fresno, CA 93710-6221 | 2010-07-11 |
| 1033436597 | Susan J Jensen | Massage Therapist | 174 Wilmington Dr, Mount Washington, KY 40047-7132 | 2010-04-23 |
| 1164694204 | Susan E Jensen | Social Worker | 12608 State Rd, Suite #1, Cleveland, OH 44133-3208 | 2008-03-28 |
| 1194848416 | Susan Cecile Jensen | Acupuncturist | 3208 38 Street Nw, Washington, DC 20016 | 2007-04-10 |
| 1275698912 | Susan Lorraine Jensen | Social Worker | 1212 Mary Dale Dr Sw, Lilburn, GA 30047-5540 | 2006-12-22 |
| 1124129101 | Susan A Jensen | Chiropractor | 8404 W 13th St N Ste 150, Wichita, KS 67212 | 2006-09-25 |
| 1013359900 | Susan Jensen | Nurse Practitioner | 100 Boston Rd, Suite F, Groton, MA 01450-1879 | 2013-07-22 |
| Street Address |
SNEADS FERRY PEDIATRIC & FAMILY CARE 108 LAKESIDE DR |
| City | SNEADS FERRY |
| State | NC |
| Zip Code | 28460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661743 | Russ C Garlinghouse | Military Health Care Provider | Rr 616, Stone Bay, NC 28460 | 2020-08-26 |
| 1164033197 | Brian David Bjerke | Military Health Care Provider | 612 Everrett Creek Road, Snead's Ferry, NC 28460 | 2020-08-13 |
| 1356950612 | Carla Marie Lewis | Dental Hygienist | 1319 Nc 210, Sneads Ferry, NC 28460 | 2020-07-23 |
| 1760013940 | Pete Alfonso Walker | Emergency Medical Technician, Paramedic | Bldg Rr612 Loop Road, Sneads Ferry, NC 28460 | 2020-01-28 |
| 1487294682 | Daniel Scott Porterfield | Military Health Care Provider | Building Rr612, Loop Rd, Sneads Ferry, NC 28460 | 2020-01-15 |
| 1427617000 | Henrique Ferreira Silva | Dentist | 1112 Nc-210, Sneads Ferry, NC 28460 | 2019-06-07 |
| 1295212199 | Ryan Loseke | Military Health Care Provider | 3d Mrb, Camp Lejeune, NC 28460 | 2018-07-24 |
| 1053865824 | Mackenzie Shuford | Chiropractor | 211 Silver Sands Rd, Sneads Ferry, NC 28460 | 2016-08-10 |
| 1043623408 | At Home Pediatric Therapy, Inc. | Speech-Language Pathologist | 1072 Hwy 210, B, Sneads Ferry, NC 28460 | 2014-06-03 |
| 1124388335 | Shanie Singh Covert Dds Pa | Dentist | 2024 Hwy 172, Sneads Ferry, NC 28460 | 2012-05-22 |
| Find all providers in zip 28460 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871855379 | Sneads Ferry Pediatrics PC | Nurse Practitioner | 108 Lakeside Dr, Sneads Ferry, NC 28460-9415 | 2012-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594732 | Megan Hoekstra | Nurse Practitioner | 8358 Six Forks Rd Ste 204, Raleigh, NC 27615-5093 | 2020-10-04 |
| 1639713118 | Holly Hattler Barber | Nurse Practitioner | Unc Dept of Pediatrics 030 Macnider Hall Cb 7231, Chapel Hill, NC 27599-0001 | 2019-10-29 |
| 1437709565 | Molly Benson Miller | Nurse Practitioner | 101 Manning Dr Cb 7236, Chapel Hill, NC 27599-7236 | 2019-09-20 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1548814072 | Ashley Goodwin Friddle | Nurse Practitioner | 802 Green Valley Rd Ste 210, Greensboro, NC 27408-7099 | 2019-08-01 |
| 1740743129 | Jennifer W Farrow | Nurse Practitioner | 940 Se Cary Pkwy Ste 200, Cary, NC 27518-7417 | 2019-04-11 |
| 1538641147 | Taylor Rippy | Nurse Practitioner | 2304 Delaney Ave, Wilmington, NC 28403-6013 | 2018-08-30 |
| 1427544931 | Sheila L Mason | Nurse Practitioner | Wfbmc 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-07-09 |
| 1770099319 | Jillian Hernandez Sprague | Nurse Practitioner | 101 E Matthews St Ste 800, Matthews, NC 28105-5374 | 2017-12-19 |
| 1427587625 | Amanda Register | Nurse Practitioner | 110 E Park Dr, Beulaville, NC 28518-6916 | 2017-06-09 |
| Find all providers with the same taxonomy | ||||
| City | SNEADS FERRY |
| Zip Code | 28460 |
Please comment or provide details below to improve the information on DR. SUSAN B JENSEN.
| 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.