JENNIFER MARIE KOWALCZYK (NPI# 1699186395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699186395 |
| Entity Type | Individual |
| Full Name | JENNIFER MARIE KOWALCZYK |
| Other Name | JENNIFER M DENT |
| Credential | WHNP-BC |
| Practice Address |
715 Nw Dimmick St Grants Pass OR 97526-1536 |
| Mailing Address |
1575 Sw Yucca Dr Grants Pass OR 97527-6435 |
| Practice Telephone | 5414745370 |
| Practice Fax Number | 5414745353 |
| Mailing Telephone | 5417870422 |
| Mailing Fax Number | 5414745353 |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2016-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
5799-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093373 | Jennifer Kowalczyk | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-05-04 |
| 1770771404 | Jennifer L. Kowalczyk | Physical Therapist | 6367 E Tanque Verde Rd Ste 150, Tucson, AZ 85715-3915 | 2007-10-09 |
| Street Address |
715 NW DIMMICK ST |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-1536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891232336 | Sherri Tobin | Dietitian, Registered | 715 Nw Dimmick St, Grants Pass, OR 97526-1536 | 2017-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1780719716 | Nancy Jean Mason | Nurse Practitioner | 1075 Sw Grandview Ave Ste 200, Grants Pass, OR 97527-9752 | 2007-02-22 |
| 1043219462 | Charlane A Frazier | Nurse Practitioner | 160 Nw Franklin Blvd, Grants Pass, OR 97526-1086 | 2005-07-18 |
| 1730547142 | Ashley Warner | Nurse Practitioner | 1075 Grandview Ave Ste 200, Grants Pass, OR 97527-5118 | 2016-02-01 |
| 1205835139 | Katherine Rutherford | Nurse Practitioner | 700 Ramsey Ave, Grants Pass, OR 97527-5786 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760043673 | Tracy Lee Stevens | Nurse Practitioner | 2222 Ne 130th Ave, Portland, OR 97230-1705 | 2019-06-23 |
| 1093292971 | Tracie Lynn Wright | Nurse Practitioner | 572 Barton Rd, Eagle Point, OR 97524-4405 | 2018-07-24 |
| 1780048124 | Degrazia Wellness, LLC | Nurse Practitioner | 3210 Hillcrest Park Dr, Suite 100, Medford, OR 97504-7693 | 2016-04-12 |
| 1013307685 | Christa Elane Degrazia | Nurse Practitioner | 146 Clear Creek Dr, Suite 350, Ashland, OR 97520-1851 | 2015-02-03 |
| 1558782318 | Rebecca M Meek | Nurse Practitioner | 2430 S 6th St, Klamath Falls, OR 97601-4342 | 2013-12-21 |
| 1184055931 | Sue Lillian Dixon | Nurse Practitioner | 715 S.w. 4th St., Ste.c, Madras, OR 97741 | 2013-12-04 |
| 1689004053 | Kendra Parkin | Nurse Practitioner | 12220 Sw 1st St, Suite 200, Beaverton, OR 97005-2889 | 2013-11-20 |
| 1467742205 | Jennifer Lynda Roberson | Nurse Practitioner | 12550 Sw 2nd St, Beaverton, OR 97005-0519 | 2011-04-13 |
| 1831420017 | Tamara Jean Wilson | Nurse Practitioner | 890 Oak St Se Ste 5050, Salem, OR 97301-3905 | 2010-01-27 |
| 1689819773 | Infrared Breast Health,llc | Nurse Practitioner | 1102 Hodson Ln, Eugene, OR 97404-2944 | 2008-12-04 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
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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.