MRS. JENNIE VANDENHOUTEN (NPI# 1730596743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730596743 |
| Entity Type | Individual |
| Full Name | MRS. JENNIE VANDENHOUTEN |
| Credential | AGPCNP-BC |
| Practice Address |
106 E Broad St Savannah GA 31401-2917 |
| Mailing Address |
900 Mohawk St Ste E Savannah GA 31419-1768 |
| Practice Telephone | 9125271000 |
| Mailing Telephone | 9129250067 |
| Mailing Fax Number | 9129252381 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2016-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN183462 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
106 E BROAD ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31401-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346228038 | Alvin Deron Jackson | Family Medicine | 106 E Broad St, Savannah, GA 31401-2917 | 2006-01-04 |
| 1013552504 | Anquetta Monique Cooper | Dental Hygienist | 106 E Broad St, Savannah, GA 31401-2917 | 2019-11-08 |
| 1225672041 | Victoria D Forbes | Dental Hygienist | 106 E Broad St, Savannah, GA 31401-2917 | 2019-11-05 |
| 1225689540 | Tonya Davis | Dental Hygienist | 106 E Broad St, Savannah, GA 31401-2917 | 2019-09-27 |
| 1467967877 | Laquita Holt | Dentist | 106 E Broad St, Savannah, GA 31401-2917 | 2017-12-07 |
| 1366963837 | Wendelyn Monique Brown | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2017-07-05 |
| 1346776002 | Nancy Flategraff | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2017-05-02 |
| 1689109266 | Torrie Charell Battle | Dentist | 106 E Broad St, Savannah, GA 31401-2917 | 2017-04-20 |
| 1447798988 | Michelle Dubberly-hobart | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2017-02-04 |
| 1649714981 | Adrian Elam | Nurse Practitioner | 106 E Broad St, Savannah, GA 31401-2917 | 2016-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031470 | Leslie Beatrice Dixon | Technician | 1109 Harmon Street, Savannah, GA 31401 | 2019-09-05 |
| 1912444621 | Sarah Kristen Shuman | Counselor | 140 East 40th St, Savannah, GA 31401 | 2017-01-20 |
| 1427591791 | Catherine Naomi Spann | Licensed Practical Nurse | 107 B Fahm Street, Savannag, GA 31401 | 2016-11-18 |
| 1871952499 | Jesline Palmer | Case Manager/Care Coordinator | 466 Martin Luther King Blvd, Savanah, GA 31401 | 2016-02-11 |
| 1487012894 | Suzanne Waltman Coote | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2016-02-01 |
| 1356748032 | Beverly Weaver | Registered Nurse | 107 B Fahm St., Savannah, GA 31401 | 2014-11-25 |
| 1275938011 | Olukemi Olubajo | Dietitian, Registered | 125 Fahm Street, J C Lewis Primary Health Care Center, Savannah, GA 31401 | 2014-10-22 |
| 1346642279 | Kristin Jaski | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2014-09-23 |
| 1528497500 | Kathleen Alice Flynn | Nurse Practitioner | 1900 Abercorn Street, Suite 100, Savannah, GA 31401 | 2013-11-11 |
| 1306112248 | Elizabeth Windom Stewart | Nurse Practitioner | 300 Bull St Ste 102, Savannah, GA 31401 | 2012-03-26 |
| Find all providers in zip 31401 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021277 | Elsa Duncan Duncan | Nurse Practitioner | 1822 E Gwinnett St, Savannah, GA 31404-1853 | 2020-07-24 |
| 1578115333 | Chantel Evette Plummer | Nurse Practitioner | 1810 E 62nd St, Savannah, GA 31404-5602 | 2019-07-11 |
| 1447685383 | Sunni L. Ogden | Nurse Practitioner | 3219 College St, Savannah, GA 31404-5254 | 2013-09-11 |
| 1447578018 | Tennessee River Pain Management Clinic | Nurse Practitioner | 275a Eureka St, Savannah, TN 38372-3033 | 2010-05-06 |
| 1487880761 | William Opoku Badu Agyemang | Nurse Practitioner | 851 Southbridge Blvd, Savannah, GA 31405-1096 | 2009-06-01 |
| 1437286135 | Rita Marie Greenbush | Nurse Practitioner | 11700 Mercy Blvd Ste 6, Savannah, GA 31419-1753 | 2007-02-28 |
| 1306951983 | Crystal Michelle Height | Nurse Practitioner | 702 W 47th St, Savannah, GA 31405-1772 | 2006-08-21 |
| 1942854625 | Mallory Duncan | Nurse Practitioner | 11705 Mercy Blvd, Savannah, GA 31419-1711 | 2019-07-30 |
| 1982256772 | Zachary Houston Jenkins | Nurse Practitioner | 329 Eisenhower Dr Ste D, Savannah, GA 31406-2695 | 2019-07-11 |
| 1013365550 | Margaret Fitch Mcclellan | Nurse Practitioner | 5353 Reynolds St Ste 107, Savannah, GA 31405-6089 | 2016-05-25 |
| Find all providers in SAVANNAH | ||||
Please comment or provide details below to improve the information on MRS. JENNIE VANDENHOUTEN.
| 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.