MS. JENNESSA R JOHNSTON (NPI# 1184924524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184924524 |
| Entity Type | Individual |
| Full Name | MS. JENNESSA R JOHNSTON |
| Other Name | JENNESSA R CONDERMAN |
| Credential | N.P. |
| Practice Address |
806 W Jackson St Muncie IN 47305-1551 |
| Mailing Address |
250 N Shadeland Ave Ste 130 Provider Enrollment Indianapolis IN 46219-4959 |
| Practice Telephone | 7652814263 |
| Practice Fax Number | 7652861737 |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2014-06-25 |
| 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 |
71003503A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201006660 | 05 | |
| IN | RAILROAD MEDICARE | P01303727 | 01 |
| Street Address |
806 W JACKSON ST |
| City | MUNCIE |
| State | IN |
| Zip Code | 47305-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518040625 | Robin L Cooper | Nurse Practitioner | 806 W Jackson St, Muncie, IN 47305-1551 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962561654 | Behavioral Support Services, LLC. | Counselor | 405 S. Walnut St., Suite 309-11, Muncie, IN 47305 | 2006-12-08 |
| 1548376619 | Charles P Slavin | Dentist | 315 W Washington St, Muncie, IN 47305 | 2006-08-22 |
| 1437135522 | Delaware County Auditor | Ambulance | 401 E Jackson, Muncie, IN 47305 | 2005-12-20 |
| 1033505375 | Shereene Grant | Family Medicine | 333 S Madison St, Muncie, IN 47305 | 2015-04-14 |
| 1023626744 | Meridian Health Services Corp. | Clinic/Center | 801 N Walnut St # 1, Muncie, IN 47305-1458 | 2020-07-20 |
| 1598821266 | Larry Lee Mccallister | Family Medicine | 217 S Cherry St, Muncie, IN 47305-1506 | 2006-12-28 |
| 1124189899 | Open Door Community Services, Inc | Homemaker | 926 W Main St, Muncie, IN 47305-1539 | 2006-12-13 |
| 1104215508 | Kacyn Tucker-ramer | Behavioral Analyst | 920 W Main St, Muncie, IN 47305-1539 | 2015-01-22 |
| 1497782932 | Raymond Scott Nanko | Chiropractor | 919 W Jackson St, Muncie, IN 47305-1554 | 2006-06-28 |
| 1922362334 | Raymond S Nanko Md | Pain Medicine | 919 W Jackson St, Muncie, IN 47305-1554 | 2012-06-29 |
| Find all providers in zip 47305 | ||||
| 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 |
|---|---|---|---|---|
| 1891851747 | Diana Lynn Jones | Nurse Practitioner | 1500 Neeley Ave Rm 211, Muncie, IN 47306-0001 | 2006-12-28 |
| 1518040625 | Robin L Cooper | Nurse Practitioner | 806 W Jackson St, Muncie, IN 47305-1551 | 2006-10-23 |
| 1215964135 | Beth Marie Kelsey | Nurse Practitioner | School of Nursing, Ball State University, Muncie, IN 47306-0265 | 2006-06-27 |
| 1205822111 | Catherine Lee Roland | Nurse Practitioner | 3715 S Madison St, Muncie, IN 47302-5756 | 2005-09-26 |
| 1962494062 | Debra A Garner | Nurse Practitioner | 5501 W Bethel Ave, Muncie, IN 47304-8513 | 2005-08-16 |
| 1912431669 | Katheryn Plankenhorn | Nurse Practitioner | 3417 W Bethel Ave Ste A, Elite Healthcare of Muncie Inc, Muncie, IN 47304-7504 | 2017-04-19 |
| 1114324506 | Diane Margaret Martel | Nurse Practitioner | 3550 W Fox Ridge Ln, Muncie, IN 47304-5205 | 2014-12-01 |
| 1710309588 | Kathryn Gramlich | Nurse Practitioner | 905 S Walnut St, Muncie, IN 47302-2333 | 2014-01-14 |
| 1982666186 | Molly Tripp Graybeal | Nurse Practitioner | 3715 S Madison St, Muncie, IN 47302-5756 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265077572 | Tara Lynette Flanagan | Nurse Practitioner | 2629 Waterfront Parkway East Dr Ste 375, Indianapolis, IN 46214-2026 | 2019-11-11 |
| 1184266827 | Bethany L. Odero | Nurse Practitioner | 550 University Blvd Ste 2041, Indianapolis, IN 46202-5149 | 2019-10-15 |
| 1487201166 | Bonnie Wellman | Nurse Practitioner | 1403 Allison Blvd, Auburn, IN 46706-3205 | 2019-08-19 |
| 1396285656 | Wendy K Carter | Nurse Practitioner | 720 Eskenazi Avenue, Suite F2-600, Eskenazi Health, Indianapolis, IN 46202 | 2017-03-06 |
| 1972042463 | Deborah Jean Dilk | Nurse Practitioner | 8067 N Oliver Ln, Dupont, IN 47231-9565 | 2017-02-16 |
| 1386183937 | Juanita Lock | Nurse Practitioner | 10051 N State Road 62, Canaan, IN 47224-9759 | 2017-02-15 |
| 1073975546 | Margaret Cockshott | Nurse Practitioner | 640 Eskenazi Ave, Fifth Third Bank Building, Indianapolis, IN 46202-5173 | 2016-03-24 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1699038430 | Aimee Leigh Anderson | Nurse Practitioner | 7120 Clearvista Dr Ste 3200, Indianapolis, IN 46256 | 2012-06-18 |
| 1104101047 | Amanda Jo Phelps | Nurse Practitioner | 4199 Gateway Blvd Ste 3500, Newburgh, IN 47630-7909 | 2011-10-11 |
| 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.