MRS. JAN L HUNDLEY (NPI# 1285652057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285652057 |
| Entity Type | Individual |
| Full Name | MRS. JAN L HUNDLEY |
| Credential | CNS |
| Practice Address |
1237 Jefferson St Boydton VA 23917 |
| Mailing Address |
Po Box 66 Boydton VA 23917 |
| Practice Telephone | 4347380055 |
| Practice Fax Number | 4347380055 |
| Mailing Telephone | 4347380055 |
| Mailing Fax Number | 4347380055 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
552 | NC | Behavioral Health & Social Service Providers |
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
0015000286 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 5510040 | 05 | |
| VA | ANTHEM BCBS | 106480 | 01 |
| Street Address |
1237 JEFFERSON ST |
| City | BOYDTON |
| State | VA |
| Zip Code | 23917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194982595 | Boydton Community Health Facility, Inc | Clinic/Center | 1321 Jefferson Street, Boydton, VA 23917 | 2008-05-22 |
| 1851579130 | Moira R Hurley | Internal Medicine | 380 Washington St., Boydton, VA 23917 | 2008-02-08 |
| 1053454058 | Charles Joseph Devine IIi | Preventive Medicine | 434 Washington St., Boydton, VA 23917 | 2007-02-15 |
| 1285726133 | Robin H. Jennings | Dental Hygienist | 1329 Jefferson Street, Boydton, VA 23917 | 2006-09-29 |
| 1588678098 | Angela Poythress | Counselor | 523 Madison St., Boydton, VA 23917 | 2006-07-28 |
| 1407860158 | Jan Skibinski | Pharmacist | 390 Washington Street, Boydton, VA 23917 | 2006-07-28 |
| 1710938576 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 969 Madison St, Boydton, VA 23917 | 2006-05-15 |
| 1104880582 | Boydton Community Pharmacy | Pharmacy | 390 Washington St, Boydton, VA 23917 | 2006-04-13 |
| 1578526083 | Elaine M Cole | Social Worker | 523 Madison Street, Boydton, VA 23917 | 2006-04-07 |
| 1457328767 | Willoughby Shelton Hundley IIi | Emergency Medicine | 969 Madison Street, Suite/box 297, Boydton, VA 23917 | 2006-03-06 |
| Find all providers in zip 23917 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891853784 | Leslie M. Durr | Clinical Nurse Specialist | 1149 Rose Hill Dr, Charlottesville, VA 22903-5161 | 2006-12-05 |
Please comment or provide details below to improve the information on MRS. JAN L HUNDLEY.
| 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.