JENNIFER M WELLMAN (NPI# 1396831608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396831608 |
| Entity Type | Individual |
| Full Name | JENNIFER M WELLMAN |
| Credential | ARNP |
| Practice Address |
1 Timberwolf Drive Huntington WV 25704 |
| Mailing Address |
Po Box 1680 Huntington WV 25717 |
| Practice Telephone | 3044291764 |
| Practice Fax Number | 3044291746 |
| Mailing Telephone | 3046971396 |
| Mailing Fax Number | 3046972086 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2015-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | NP-07422 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 3488P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
50871 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | LICENSE | 34876 | 01 |
| WV | 7105076000 | 05 | |
| WV | DEA | MW2749351 | 01 |
| OH | 2282524 | 05 | |
| KY | 78005741 | 05 | |
| KS | LICENSE | 3488P | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497253116 | Jennifer Wellman | Occupational Therapist | 12 Platinum Ct Ste B, Medford, NY 11763-2247 | 2018-01-28 |
| 1427299734 | Jennifer Suzanne Wellman | Registered Nurse | 316 Fox Hollow Dr, Hudson, NH 03051-4858 | 2009-03-16 |
| 1487113197 | Jennifer K Wellman | Counselor | 3545 Lincoln Way E, Massillon, OH 44646-8624 | 2019-03-13 |
| 1013298645 | Jennifer M Wellman | Nurse Practitioner | 2115 Chapline St, Wheeling, WV 26003-3859 | 2011-09-09 |
| Street Address |
1 TIMBERWOLF DRIVE |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354161 | Sherry Jean Short | Technician | 315 1/2 W 13th Street, Huntington, WV 25704 | 2020-10-22 |
| 1063029940 | Kathern Sullivan | Technician | 2950 Apt. B1 Auburn Rd, Huntington, WV 25704 | 2020-09-25 |
| 1932713229 | John Webb | Technician | 3717 Lot 17 Rte. 75, Huntington, WV 25704 | 2020-09-03 |
| 1679114458 | Betty Bentley | Technician | 1588 Spring Valley Drive, Huntington, WV 25704 | 2019-10-03 |
| 1568948958 | Jessica E Hall | Assistant Behavior Analyst | 4614 Waverly Road, Huntington, WV 25704 | 2018-07-18 |
| 1538662457 | Abayomi Adeyi | Nurse Practitioner | Huntington Va Medical Center 1540 Spring Valley Drive, Huntington, WV 25704 | 2018-03-16 |
| 1851807242 | Shirley Meldave Ross | Technician | 1591 Buffalo Creek Road, Huntington, WV 25704 | 2017-12-20 |
| 1245772045 | Emily Marie Miller | Massage Therapist | 3637 Hughes St, Huntington, WV 25704 | 2016-11-09 |
| 1265785737 | William M Jennings IIi | Internal Medicine | 1448 10th Avenue, Suite 100, Huntington, WV 25704 | 2012-10-22 |
| 1477709921 | Huntington Va Medical Center | General Acute Care Hospital | 540 Spring Valley Dr, Huntington, WV 25704 | 2008-08-15 |
| Find all providers in zip 25704 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143495 | Katherine Dowling | Nurse Practitioner | 1 Bouton Rd, Huntington, NY 11743-1003 | 2020-10-28 |
| 1497354047 | Sara L Clayborne | Nurse Practitioner | 130 N Queens Ct, Huntington, WV 25705-3736 | 2020-10-23 |
| 1235747106 | Dathan Jobe | Nurse Practitioner | 2 Jacqueline Hts, Huntington, WV 25702-9764 | 2020-07-16 |
| 1427676923 | Taylor Regen Dean | Nurse Practitioner | 32 Brookstone Dr, Huntington, WV 25704-9563 | 2020-07-10 |
| 1689207516 | Sandra Walters | Nurse Practitioner | 1340 16th St, Huntington, WV 25701-3800 | 2020-02-19 |
| 1124678156 | Misty Rae Stauffer | Nurse Practitioner | 406 Viking Cove Rd, Huntington, TX 75949-3474 | 2019-09-11 |
| 1689223349 | Tashanna T Brown | Nurse Practitioner | 75 Prospect St Ste 204, Huntington, NY 11743-3320 | 2019-09-05 |
| 1194370676 | Chelse R Jobe | Nurse Practitioner | 2900 1st Ave Ste 10, Huntington, WV 25702-1241 | 2019-08-02 |
| 1609338284 | Anne M Weiser-maimone | Nurse Practitioner | 33 Knollwood Rd, Huntington, NY 11743-1527 | 2019-04-03 |
| 1396207262 | Vanessa Gervasi | Nurse Practitioner | 241 E Main St Ste 2c, Huntington, NY 11743-2917 | 2019-04-01 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25704 |
Please comment or provide details below to improve the information on JENNIFER M WELLMAN.
| 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.