JENNIFER JEANNINE BRATZ (NPI# 1184791782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184791782 |
| Entity Type | Individual |
| Full Name | JENNIFER JEANNINE BRATZ |
| Credential | WHNP |
| Practice Address |
1090 Arnold Dr Little Rock Afb AR 72099-4933 |
| Practice Telephone | 5019871906 |
| Mailing Telephone | 5019871906 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
18496 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1090 ARNOLD DR |
| City | LITTLE ROCK AFB |
| State | AR |
| Zip Code | 72099-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558353524 | Ruth Paula Gullotta | Pediatrics | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2005-08-16 |
| 1669087961 | Franko Salazar | Physician Assistant | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2020-09-14 |
| 1023642840 | Cara D Roth | Social Worker | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2020-03-02 |
| 1154971513 | Timothy Ryan Southerland | Psychologist | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2019-09-18 |
| 1407409428 | Jenisha Rae Mermis | Military Health Care Provider | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2019-07-18 |
| 1457810848 | Dennis Dale Jackson II | Pharmacist | 1090 Arnold Dr, Little Rock Afb, AR 72099 | 2019-03-15 |
| 1053877902 | Chase Andrew Cannon | Physician Assistant | 1090 Arnold Dr, Little Rock Afb, AR 72099-2502 | 2019-02-15 |
| 1235600461 | Leeanne Elizabeth Ogle | Military Health Care Provider | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2018-12-16 |
| 1972078004 | Meghan Rachelle Dailey | Physician Assistant | 1090 Arnold Dr, Little Rock Afb, AR 72099-1043 | 2018-10-04 |
| 1760977979 | Lashica Davis | Pharmacist | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2018-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876577 | Little Rock Air Force Base Eye Care | Optometrist | 6th Street, Bldg 787, Little Rock Air Force Base, Little Rock, AR 72099 | 2017-04-25 |
| 1841636206 | National Vision Optical | Technician/Technologist | Bldg 787 6th St., Little Rock, AR 72099 | 2013-05-13 |
| 1134341076 | Keisha Denythia Henry | Psychologist | 314 Medical Group, Life Skills Support Center, 1090 Arnold Drive, Little Rock Afb, AR 72099 | 2007-05-02 |
| 1699213454 | Teryn Ardell Freeman | Physician Assistant | 19th Medical Group, 1090 Arnold Drive, Little Rock, AR 72099 | 2017-02-01 |
| 1730314899 | Andrew Chichick Iv | Military Health Care Provider | 1090 Arnold Drive, 19 Amds/sgpf, Little Rock Afb, AR 72099 | 2009-05-19 |
| 1427316488 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 6 Th St Bldg 787, Little Rock Afb, AR 72099-0001 | 2012-04-27 |
| 1700174828 | Lewis Mark Wiggins | Family Medicine | 19th Medical Group, Jacksonville, AR 72099-0001 | 2011-07-11 |
| 1104052158 | Seth Thomas Tolliver | Nurse Practitioner | 101 Master Sergeant Dan Wassom, Little Rock Afb, AR 72099-0001 | 2009-06-04 |
| 1316171994 | Jeff J. Sandoval | Military Health Care Provider | 19 Amds Sgopf, 1090 Arnold Dr, Little Rock Afb, AR 72099-0001 | 2009-05-11 |
| 1366610198 | Robert Anthony Olivi Jr. | Physician Assistant | 19th Medical Group 1090 Arnold Drive, Little Rock Air Force Base, AR 72099-0001 | 2008-02-14 |
| Find all providers in zip 72099 | ||||
| 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 |
|---|---|---|---|---|
| 1457735219 | Melissa L Legowski | Nurse Practitioner | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2015-07-11 |
| 1740275536 | Marybeth S. Lenz | Nurse Practitioner | 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 | 2005-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740820950 | Heather Erwin | Nurse Practitioner | 615 Creekside Dr, Greenwood, AR 72936-3810 | 2020-01-15 |
| 1437596970 | Charity Dawson | Nurse Practitioner | 20299 Highway 51, Malvern, AR 72104-8005 | 2013-05-23 |
| 1942591896 | Wendy Jo Kelton | Nurse Practitioner | 1113 Chestnut St, Lewisville, AR 71845-0367 | 2011-04-27 |
| 1508176744 | Susan Anne Denys | Nurse Practitioner | 811 N Creek Dr, Conway, AR 72032-4712 | 2010-10-20 |
| 1326200213 | Sarah J Rhoads | Nurse Practitioner | 4301 W Markham St # 529, Little Rock, AR 72205-7101 | 2008-07-01 |
| 1750577581 | Lisa Anne Toth | Nurse Practitioner | #4 Highway 71 Northeast, Mountainburg, AR 72946 | 2007-09-14 |
| 1083836886 | Linda Mckennon Smith | Nurse Practitioner | 3729 N Crossover Rd, Suite 107, Fayetteville, AR 72703-4582 | 2007-05-02 |
| 1295954808 | Deborah Kay Gossett | Nurse Practitioner | 3112 S 70th St, Fort Smith, AR 72903-5068 | 2007-04-24 |
| 1598816506 | Amparo Bartlett | Nurse Practitioner | 203 Weir Rd, Russellville, AR 72802-9405 | 2007-01-16 |
| 1003965120 | Susan A Harris | Nurse Practitioner | 801 Goldsmith Rd, Paragould, AR 72450-9509 | 2007-01-09 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK AFB |
| Zip Code | 72099 |
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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.