JACQUELINE KAY TEBBEN (NPI# 1558366609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558366609 |
| Entity Type | Individual |
| Full Name | JACQUELINE KAY TEBBEN |
| Credential | RN-C, PNP |
| Practice Address |
301 E Wendover Ave Ste 400 Greensboro NC 27401-1230 |
| Practice Telephone | 3368323150 |
| Mailing Telephone | 3368323150 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2015-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 300032 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
300032 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
301 E WENDOVER AVE STE 400 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214687 | Bryan K Bartle | Surgery | 301 E Wendover Ave, Suite 411, Greensboro, NC 27401-1230 | 2005-06-10 |
| 1902364029 | Alexis Scotece | Dietitian, Registered | 301 E Wendover Ave, Greensboro, NC 27401 | 2019-03-07 |
| 1265918171 | Rosalynne Faith Lopez | Health Educator | 301 E Wendover Ave, Greensboro, NC 27401-1230 | 2018-07-13 |
| 1689185068 | Cassie Lynn Kuppelweiser | Pharmacist | 301 E Wendover Ave, Greensboro, NC 27401-1230 | 2017-10-12 |
| 1780119636 | Minh Pham | Pharmacist | 301 E Wendover Ave, Suite 111, Greensboro, NC 27401-1230 | 2017-04-28 |
| 1457897175 | Jennifer Lauren Rafeek | Nurse Practitioner | 301 E Wendover Ave, Suite 400, Greensboro, NC 27401-1230 | 2017-01-19 |
| 1730625518 | Cone Center for Children | Clinic/Center | 301 E Wendover Ave, Suite 400, Greensboro, NC 27401-1230 | 2017-01-17 |
| 1942666953 | Central Carolina Health Network | Voluntary or Charitable | 301 E Wendover Ave, Ste 113, Greensboro, NC 27401-1230 | 2016-01-06 |
| 1285018366 | Michelle Elizabeth Stoisits | Social Worker | 301 E Wendover Ave, 400, Greensboro, NC 27401-1230 | 2015-07-17 |
| 1710396841 | Dawn Drazek | Nurse Practitioner | 301 E Wendover Ave, Ste 412, Greensboro, NC 27401-1230 | 2014-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548814072 | Ashley Goodwin Friddle | Nurse Practitioner | 802 Green Valley Rd Ste 210, Greensboro, NC 27408-7099 | 2019-08-01 |
| 1972671394 | Gretchen Netherton | Nurse Practitioner | 400 E Commerce Street, Greensboro, NC 27260-5221 | 2006-12-01 |
| 1265474639 | Edna Rosellen Dedlow | Nurse Practitioner | 719 Green Valley Rd Ste 306, Developmental and Psychological Center, Greensboro, NC 27408-7026 | 2006-06-12 |
| 1447255542 | Genevieve D. Mack | Nurse Practitioner | 510 N Elam Ave, Greensboro Pediatricians, Inc., Greensboro, NC 27403-1150 | 2005-06-15 |
| 1255931655 | Taylor Houk | Nurse Practitioner | 1121 N Church St, Greensboro, NC 27401 | 2020-10-27 |
| 1003395948 | Kaila Haskins | Nurse Practitioner | 1200 N Elm St, Greensboro, NC 27401 | 2018-08-11 |
| 1528508793 | Mallory Patterson | Nurse Practitioner | 510 N Elam Ave Ste 202, Greensboro, NC 27403-1177 | 2017-03-07 |
| 1457897175 | Jennifer Lauren Rafeek | Nurse Practitioner | 301 E Wendover Ave, Suite 400, Greensboro, NC 27401-1230 | 2017-01-19 |
| 1881148542 | Athena Theodora Samaras | Nurse Practitioner | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2016-08-11 |
| 1578956546 | Lynn Klett | Nurse Practitioner | 719 Green Valley Rd, Suite 209, Greensboro, NC 27408-7014 | 2015-03-13 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27401 |
Please comment or provide details below to improve the information on JACQUELINE KAY TEBBEN.
| 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.