MRS. JENNIFER LYNN BARDWELL


Address: 700 E Marshall Ave # Abe, Longview, TX 75601-5580
Phone: 9033152000

MRS. JENNIFER LYNN BARDWELL (NPI# 1558870360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558870360
Entity Type Individual
Full Name MRS. JENNIFER LYNN BARDWELL
Credential ARNP, AGACNP-BC
Practice Address 700 E Marshall Ave # Abe
Longview
TX 75601-5580
Mailing Address 10624 Browning St
Brownsboro
TX 75756-6675
Practice Telephone 9033152000
Mailing Telephone 8179035366
Enumeration Date 2017-09-25
Last Update Date 2020-05-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208M00000X Hospitalist AP134807 TX Allopathic & Osteopathic Physicians
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
AP134807 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 700 E MARSHALL AVE # ABE
City LONGVIEW
State TX
Zip Code 75601-5580

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992351076 Stebbins Hospice LLC Hospice Care, Community Based 600-602 E. Whaley, Longview, TX 75601 2019-08-14
1720437692 J.l. Miguez, Inc. Hearing Aid Equipment 822 N 4th Street, Longview, TX 75601 2016-06-10
1801244090 Voyage Medical Solutions, LLC Durable Medical Equipment & Medical Supplies 111 W Tyler St, Longview, TX 75601 2016-05-27
1134504426 Siobain Kay Rogers Nurse Practitioner 703 E Marshall Ave Ste 4003, Longview, TX 75601 2015-07-28
1669882882 Snehal Shrivastava Internal Medicine 1402 N 4th St Ste 300, Longview, TX 75601 2014-04-28
1679824221 Jennifer Ruth Williams Occupational Therapist 110 E Tyler St, Longview, TX 75601 2012-09-23
1548525603 Candice Renee Ramos Social Worker 950 N Sixth St, Longview, TX 75601 2012-07-05
1497082747 Jarett S Harkness Pharmacist 511 E. Marshall Avenue, Longview, TX 75601 2009-11-06
1407086333 Udeme Ekpenyong Pediatrics 818 N. 4th St., Longview, TX 75601 2009-07-27
1386823359 Assisted Living Concepts Inc Assisted Living Facility 2104 Alpine Road, Longview, TX 75601 2007-10-26
Find all providers in zip 75601

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326216227 Elaine Cox Nurse Practitioner 803 Vandercook Way Lowr Columbia, Suite 2, Longview, WA 98632-4057 2008-02-13
1760091193 Josslyn Hastie Morgan Nurse Practitioner 700 E Marshall Ave, Longview, TX 75601-5580 2020-07-31
1316574213 Tera Hollins Nurse Practitioner 701 E Marshall Ave Ste 504, Longview, TX 75601-5544 2020-03-23
1306340690 Brandon G Bryant Nurse Practitioner 703 E Marshall Ave Ste 5008, Longview, TX 75601-5557 2018-03-21
1184138901 Chad Crossland Nurse Practitioner 709 Hollybrook Dr Ste 3400, Longview, TX 75605-2412 2017-12-01
1457861148 James Lee Nurse Practitioner 1005 N Eastman Rd, Longview, TX 75601-4231 2017-10-06
1548632516 Thomas Bell Nurse Practitioner 701 E Marshall Ave, Suite 504, Longview, TX 75601-5659 2015-10-29
1619221934 Justin Steward Nurse Practitioner 2901 4th St, Longview, TX 75605-5128 2012-11-08
1942453477 Annette Richmond Mcfarland Nurse Practitioner 709 Hollybrook Dr Ste 3400, Longview, TX 75605-2412 2008-10-28
1457501025 William N Barker Jr. Nurse Practitioner 703 E Marshall Ave, Suite 5008, Longview, TX 75601-5500 2008-09-19
Find all providers in LONGVIEW

Competitor

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City LONGVIEW
Zip Code 75601

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Dataset Information

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.

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