JENNIFER MARTINA LANDRUM (NPI# 1720551732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720551732 |
| Entity Type | Individual |
| Full Name | JENNIFER MARTINA LANDRUM |
| Credential | FNP-BC |
| Practice Address |
601 W Riverside Dr Ste 2 Parker AZ 85344-5119 |
| Mailing Address |
Po Box 617 Somerton AZ 85350-0617 |
| Practice Telephone | 9282564110 |
| Practice Fax Number | 9282564112 |
| Mailing Telephone | 9283157910 |
| Mailing Fax Number | 9287226113 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
240917 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F10181025 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2464 Ridgemont Dr, Birmingham, AL 352441251 | 3346698566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649650870 | Jennifer Renee Landrum | Counselor | 1496 N Beale Rd, Marysville, CA 95901-6205 | 2015-06-03 |
| Street Address |
601 W RIVERSIDE DR STE 2 |
| City | PARKER |
| State | AZ |
| Zip Code | 85344-5119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568595 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 601 W Riverside Dr Ste 2, Parker, AZ 85344-5119 | 2020-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
| 1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
| 1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
| 1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
| 1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
| 1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
| 1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
| 1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
| 1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
| 1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
| Find all providers in zip 85344 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780294793 | Jennifer Lake King | Nurse Practitioner | 1016 S Joshua Ave, Parker, AZ 85344-5057 | 2020-08-04 |
| 1497372262 | Lindsey Renee Campion | Nurse Practitioner | 11355 S Parker Rd Unit 103, Parker, CO 80134-7705 | 2020-06-28 |
| 1386275709 | Christine N Giuliani | Nurse Practitioner | 20251 Willowbend Ln, Parker, CO 80138-7116 | 2020-02-04 |
| 1700428315 | Kasey Wheeler | Nurse Practitioner | 12193 Glasgow Ct, Parker, CO 80134-3618 | 2019-10-15 |
| 1265073209 | Angela Louise Rodiek | Nurse Practitioner | 17434 E Dewberry Cir, Parker, CO 80134-8833 | 2019-10-01 |
| 1134630833 | Emily Katherine Amack | Nurse Practitioner | 9251 S Twenty Mile Rd, Parker, CO 80134-4980 | 2017-10-20 |
| 1376977314 | Tasha Marie Koedam | Nurse Practitioner | 10259 South Parker Road, Parker, CO 80134 | 2013-08-27 |
| 1013166719 | Deirdre M Marchetti | Nurse Practitioner | 19641 E Parker Square Dr Ste A, Parker, CO 80134 | 2008-09-17 |
| 1891974481 | Timothy John Belden | Nurse Practitioner | 16244 Creekview Dr, Parker, CO 80134-2552 | 2007-10-31 |
| 1679575781 | Patricia L Stanton | Nurse Practitioner | 601 W Riverside Dr, Suite 3, Parker, AZ 85344-5119 | 2005-08-10 |
| Find all providers in PARKER | ||||
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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.