TRACEY JOLENE JENKINS (NPI# 1568918878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568918878 |
| Entity Type | Individual |
| Full Name | TRACEY JOLENE JENKINS |
| Credential | FNP |
| Practice Address |
14821 Dayton Pike Sale Creek TN 37373-5752 |
| Mailing Address |
6130 Shallowford Rd Ste 101 Chattanooga TN 37421-7222 |
| Practice Telephone | 4234869455 |
| Mailing Telephone | 4236644635 |
| Mailing Fax Number | 4237027789 |
| Enumeration Date | 2016-08-27 |
| Last Update Date | 2017-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21671 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346613338 | Tracey Lynn Jenkins | Specialist | 222 Ne 4th Ave, Camas, WA 98607-2124 | 2015-11-12 |
| 1811983075 | Tracey Jenkins | Nurse Practitioner | 1607 Nw Federal Hwy, #b, Stuart, FL 34994-9600 | 2005-09-23 |
| Street Address |
14821 DAYTON PIKE |
| City | SALE CREEK |
| State | TN |
| Zip Code | 37373-5752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184977282 | Sale Creek Pharmacy, Inc | Pharmacy | 14821 Dayton Pike, Suite 115, Sale Creek, TN 37373 | 2012-10-26 |
| 1457692667 | First Care Family Clinic LLC | Nurse Practitioner | 14821 Dayton Pike, Suite B, Sale Creek, TN 37373 | 2013-03-13 |
| 1386980795 | Julie Elizabeth Carr | Nurse Practitioner | 14821 Dayton Pike, Suite B, Sale Creek, TN 37373-5752 | 2012-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326534835 | Adriene Petmecky | Counselor | 211 Patterson Rd, Sale Creek, TN 37373 | 2018-07-09 |
| 1710496872 | Robert Lewis Kite | Nurse Practitioner | 14821 Dayton Pike Ste B, Sale Creek, TN 37373 | 2017-09-21 |
| 1023585387 | Tyler Anthony Gunter | Specialist/Technologist | 15376 Panther Ln, Sale Creek, TN 37373-5739 | 2018-10-25 |
| 1730678152 | Independent Physical Therapy | Occupational Therapist | 14821 Dayton Pike Ste D, Sale Creek, TN 37373-5752 | 2018-05-02 |
| 1730605973 | Christa M Byerley | Nurse Practitioner | 14821 Dayton Pike Ste B, Sale Creek, TN 37373-5752 | 2017-08-18 |
| 1386263986 | Krissa M Guess | Nurse Practitioner | 14821 Dayton Pike Ste B, Sale Creek, TN 37373-5752 | 2020-04-13 |
| 1437621141 | Amberly M Bruce | Physical Therapist | 14821 Dayton Pike Ste D, Sale Creek, TN 37373-5752 | 2018-12-19 |
| 1588841928 | Michael Caraccio | Pharmacist | 211 Patterson Rd, Sale Creek, TN 37373-7728 | 2008-01-29 |
| 1124102256 | Monyei Holdings Inc | Pharmacy | 14402 Dayton Pike, Ste C, Sale Creek, TN 37373-7732 | 2006-10-25 |
| 1932449907 | Whitney Lititia Ross | Physician Assistant | 14402 Dayton Pike Ste C, Sale Creek, TN 37373-7823 | 2013-02-27 |
| Find all providers in zip 37373 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730605973 | Christa M Byerley | Nurse Practitioner | 14821 Dayton Pike Ste B, Sale Creek, TN 37373-5752 | 2017-08-18 |
| 1386263986 | Krissa M Guess | Nurse Practitioner | 14821 Dayton Pike Ste B, Sale Creek, TN 37373-5752 | 2020-04-13 |
| 1558838680 | Ehrin M. Irvin | Nurse Practitioner | 108 Griffith St, Sale Creek, TN 37373-9715 | 2018-10-26 |
| 1225541279 | Susanna Neely | Nurse Practitioner | 108 Griffith St, Sale Creek, TN 37373-9715 | 2017-11-13 |
| 1386980795 | Julie Elizabeth Carr | Nurse Practitioner | 14821 Dayton Pike, Suite B, Sale Creek, TN 37373-5752 | 2012-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | SALE CREEK |
| Zip Code | 37373 |
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| 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.