JENNI CLARK FLOYD (NPI# 1427450519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427450519 |
| Entity Type | Individual |
| Full Name | JENNI CLARK FLOYD |
| Other Name | JENNI LEA CLARK |
| Credential | RN, FNP-C |
| Practice Address |
120 Memorial Dr Jacksonville NC 28546-6328 |
| Practice Telephone | 9103530581 |
| Practice Fax Number | 9103531536 |
| Mailing Telephone | 9103530581 |
| Mailing Fax Number | 9103531536 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2015-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5007183 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
120 MEMORIAL DR |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-6328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238161 | Maria Cristina Soto | Pediatrics | 120 Memorial Dr, Jacksonville, NC 28546-6328 | 2005-07-13 |
| 1578057824 | Samantha Lynn Karle | Nurse Practitioner | 120 Memorial Dr, Jacksonville, NC 28546-6328 | 2018-06-20 |
| 1861882508 | Amanda Sweet | Physician Assistant | 120 Memorial Dr, Jacksonville, NC 28546-6328 | 2015-02-03 |
| 1790183283 | Rosemarie O Wyatt | Nurse Practitioner | 120 Memorial Dr, Jacksonville, NC 28546-6328 | 2014-12-15 |
| 1922356146 | Coastal Childrens Services Pllc | Pediatrics | 120 Memorial Dr, Jacksonville, NC 28546-6328 | 2012-08-20 |
| 1386906204 | Health Sciences Foundation, Inc. | Internal Medicine | 120 Memorial Dr, Jacksonville, NC 28546-6328 | 2012-06-15 |
| 1447556691 | Sue Hartman | Nurse Practitioner | 120 Memorial Dr, Jacksonville, NC 28546-6328 | 2011-02-07 |
| 1689979262 | Christian Lanier Mills | Nurse Practitioner | 120 Memorial Dr, Jacksonville, NC 28546-6328 | 2011-01-13 |
| 1114245594 | Teressa Dana-ione Carter | Social Worker | 120 Memorial Dr, Jacksonville, NC 28546-6328 | 2010-05-11 |
| 1700022449 | Lela Fernandez Hopson | Nurse Practitioner | 120 Memorial Dr, Jacksonville, NC 28546-6328 | 2008-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293868 | Maria Fe Guboc Rufano-sulit | Nurse Practitioner | 3682 Summerlin Ln, Jacksonville, FL 32224-1650 | 2020-10-21 |
| 1346849502 | Caitlin Flott | Nurse Practitioner | 14589 Camberwell Ln S, Jacksonville, FL 32258-1708 | 2020-10-20 |
| 1972101137 | Amanda Brooke Mills | Nurse Practitioner | 8459 Oak Crossing Dr W, Jacksonville, FL 32244-6949 | 2020-10-10 |
| 1649877200 | Shalom Barile | Nurse Practitioner | 1377 Ingleside Ave, Jacksonville, FL 32205-7733 | 2020-10-07 |
| 1013524248 | Claudia Joseph | Nurse Practitioner | 3331 Net Ct, Jacksonville, FL 32277-2735 | 2020-10-01 |
| 1063029577 | Erica Francisca Andrade | Nurse Practitioner | 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 | 2020-09-29 |
| 1568078418 | Jennifer Ruth Woodard | Nurse Practitioner | 29 Trinity Way, Jacksonville, AL 36265-5813 | 2020-09-16 |
| 1013522309 | William David Michal | Nurse Practitioner | 4417 Chippewa Dr, Jacksonville, FL 32210-6006 | 2020-09-13 |
| 1063025906 | Fabiola Baptiste | Nurse Practitioner | 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 | 2020-08-29 |
| 1295348464 | Debi Cohen | Nurse Practitioner | 11266 Cloverhill Ct, Jacksonville, FL 32257-1438 | 2020-08-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on JENNI CLARK FLOYD.
| 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.