DR. JACOB WISNIEWSKI (NPI# 1689135790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689135790 |
| Entity Type | Individual |
| Full Name | DR. JACOB WISNIEWSKI |
| Credential | MD |
| Practice Address |
215 Brightwater Drive Lillington NC 27546 |
| Practice Telephone | 9108921000 |
| Mailing Telephone | 9108921000 |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
215 BRIGHTWATER DRIVE |
| City | LILLINGTON |
| State | NC |
| Zip Code | 27546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316288350 | Harnett Emergency Physicians, Pllc | Emergency Medicine | 215 Brightwater Drive, Lillington, NC 27546 | 2013-03-14 |
| 1073132262 | Alex Quinton Herring | Student in an Organized Health Care Education/Training Program | 215 Brightwater Drive, Lillington, NC 27546 | 2020-04-08 |
| 1952938094 | Patricia Jean Wilt | Student in an Organized Health Care Education/Training Program | 215 Brightwater Drive, Lillington, NC 27546 | 2020-03-26 |
| 1104486885 | Andrew T Leebolt | Student in an Organized Health Care Education/Training Program | 215 Brightwater Drive, Lillington, NC 27546 | 2019-06-16 |
| 1821653262 | Amber Lucille Brewster | Student in an Organized Health Care Education/Training Program | 215 Brightwater Drive, Lillington, NC 27546-5156 | 2019-05-01 |
| 1508329756 | Sheena Dawn Coffey | Student in an Organized Health Care Education/Training Program | 215 Brightwater Drive, Lillington, NC 27546 | 2019-04-12 |
| 1225590664 | Kyle Vawter | Student in an Organized Health Care Education/Training Program | 215 Brightwater Drive, Lillington, NC 27546-5156 | 2019-04-04 |
| 1316407570 | Michael Jeffrey Reep | Student in an Organized Health Care Education/Training Program | 215 Brightwater Drive, Lillington, NC 27546 | 2019-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245859560 | Alvin Yan | Student in an Organized Health Care Education/Training Program | 4350 Us-421, Lillington, NC 27546 | 2020-04-16 |
| 1982231056 | Nilesh Karam Vir Virmani | Student in an Organized Health Care Education/Training Program | 215 Bridgewater Drive, Lillington, NC 27546 | 2020-03-26 |
| 1902469745 | Katrina Lynn Lamont | Student in an Organized Health Care Education/Training Program | 216 Brightwater Drive, Lillington, NC 27546 | 2019-04-17 |
| 1548664550 | Realo Discount Drug Stores of Eastern North Carolina Inc | Pharmacy | 41 Bain St, Lillington, NC 27546 | 2014-10-20 |
| 1023420973 | Kidzcare Pediatrics, PC | Pediatrics | 1406 South Main Street, Lillington, NC 27546 | 2014-05-27 |
| 1497008296 | Harnett Area Rural Transit System | Non-emergency Medical Transport (VAN) | 250 Alexander Drive, Lillington, NC 27546 | 2012-10-18 |
| 1063793115 | Silnettra Yvette Barnhill | Occupational Therapist | 44 Muscadine Ct, Lillington, NC 27546 | 2011-09-02 |
| 1356650816 | Allison Leslie Stephenson | Pharmacist | 813 Main St., Lillington, NC 27546 | 2010-10-01 |
| 1417266057 | Shannon Renee Lebakken | Pharmacist | 803 North Main Street, Lillington, NC 27546 | 2010-09-30 |
| 1770897142 | Lillington Medical Services, LLC | Family Medicine | 716 N Tenth St, Lillington, NC 27546 | 2010-07-28 |
| Find all providers in zip 27546 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245859560 | Alvin Yan | Student in an Organized Health Care Education/Training Program | 4350 Us-421, Lillington, NC 27546 | 2020-04-16 |
| 1982231056 | Nilesh Karam Vir Virmani | Student in an Organized Health Care Education/Training Program | 215 Bridgewater Drive, Lillington, NC 27546 | 2020-03-26 |
| 1902469745 | Katrina Lynn Lamont | Student in an Organized Health Care Education/Training Program | 216 Brightwater Drive, Lillington, NC 27546 | 2019-04-17 |
| 1043838238 | Amber Christine Rardin | Student in an Organized Health Care Education/Training Program | 4350 Us 421 S, Lillington, NC 27546-6760 | 2020-07-14 |
| 1114544632 | Kelsey Bridget Mahoney Sayre | Student in an Organized Health Care Education/Training Program | 4350 Us 421 S, Lillington, NC 27546-6760 | 2020-06-30 |
| 1225654759 | Nicole Miranda Mcgee | Student in an Organized Health Care Education/Training Program | 4350 Us 421 S, Lillington, NC 27546-6760 | 2020-06-20 |
| 1972129559 | Allison Rebekah Blaylock | Student in an Organized Health Care Education/Training Program | 4350 Us 421 S, Lillington, NC 27546-6760 | 2020-06-19 |
| 1023633930 | Marcie Kanosky | Student in an Organized Health Care Education/Training Program | 80 Autumn Fern Trl, Lillington, NC 27546-5155 | 2020-06-16 |
| 1033731088 | Anita Meenakshi Subramanian | Student in an Organized Health Care Education/Training Program | 215 Brightwater Dr, Lillington, NC 27546-5156 | 2020-05-13 |
| 1285256511 | Lauren Verschueren | Student in an Organized Health Care Education/Training Program | 4350 Us 421 S, Lillington, NC 27546-6760 | 2020-05-08 |
| Find all providers in LILLINGTON | ||||
| City | LILLINGTON |
| Zip Code | 27546 |
Please comment or provide details below to improve the information on DR. JACOB WISNIEWSKI.
| 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.