JENNIFER LYNN BENNETT WILLIAMS (NPI# 1750574935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750574935 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN BENNETT WILLIAMS |
| Credential | FNP |
| Practice Address |
730 Malcolm Blvd Ste 150 Connelly Springs NC 28612-8079 |
| Practice Telephone | 8288744600 |
| Practice Fax Number | 8288748900 |
| Mailing Telephone | 8288744600 |
| Mailing Fax Number | 8288748900 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 5010127 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5010127 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024167508 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | NURSE PRACTITIONER | 0024167508 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4132 Hickory Blvd, Granite Falls, NC 286308371 | 8283963168 | 8283968783 |
| 695 W Fleming Dr, Morganton, NC 286554450 | 8285803278 | 8285803279 |
| Street Address |
730 MALCOLM BLVD STE 150 |
| City | CONNELLY SPRINGS |
| State | NC |
| Zip Code | 28612-8079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851383962 | Karen Cox Clark | Nurse Practitioner | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2005-08-16 |
| 1548724289 | Laura Susan Padgett | Nurse Practitioner | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2019-01-28 |
| 1437526175 | Bethany Craig Hollar | Nurse Practitioner | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612 | 2015-08-28 |
| 1043618523 | Blue Ridge Healthcare Medical Group, Inc. | Family Medicine | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2014-12-15 |
| 1245657105 | Amanda Ford | Family Medicine | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2014-03-27 |
| 1336407261 | Lauren Orlando Lippard | Family Medicine | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2012-04-28 |
| 1528276425 | Catherine A Galida | Neuromusculoskeletal Medicine & OMM | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2007-05-21 |
| 1710052535 | John Clements Betancourt | Family Medicine | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612 | 2006-11-21 |
| 1083713812 | Thomas E Meek | Neuromusculoskeletal Medicine & OMM | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992987713 | Alan Fowler Jacks | Surgery | 845 Malcolm Blvd., Connelly Springs, NC 28612 | 2007-12-04 |
| 1316995459 | Shelley A Mcclure | Obstetrics & Gynecology | 110 Hilltop St, Connelly Springs, NC 28612 | 2006-05-04 |
| 1346209293 | Ryan Nelson Richardson | Obstetrics & Gynecology | 110 Hilltop Street, Connelly Springs, NC 28612 | 2006-03-20 |
| 1407109309 | Shana C Proffitt | Nurse Practitioner | 845 Malcolm Blvd, Connelly Springs, NC 28612 | 2012-10-17 |
| 1326328881 | Despina Karavolos | Pharmacist | 210 Us Highway 70, Connelly Springs, NC 28612 | 2011-08-27 |
| 1962576181 | Gloria Marie Vodan | Advanced Practice Midwife | 110 Hilltop Street, Connelly Springs, NC 28612 | 2006-11-20 |
| 1568811784 | Elizabeth Deal Rowe | Speech-Language Pathologist | 3076 Icard School Road, Connelly Springs, NC 28612-3076 | 2016-06-08 |
| 1336394923 | Crystal Nmn Cha | Pharmacist | 3451 John Williams Rd, Connellys Springs, NC 28612-7338 | 2008-11-24 |
| 1255425427 | Carolina Health Care Center of Burke Limited Partnership | Nursing Facility/Intermediate Care Facility | 3647 Miller Bridge Rd, Connellys Springs, NC 28612-7347 | 2006-10-03 |
| 1528476058 | Christopher Hartman | Specialist/Technologist | 4946 Miller Bridge Rd, Connelly Springs, NC 28612-7359 | 2014-07-28 |
| Find all providers in zip 28612 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851383962 | Karen Cox Clark | Nurse Practitioner | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2005-08-16 |
| 1548724289 | Laura Susan Padgett | Nurse Practitioner | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612-8079 | 2019-01-28 |
| 1437526175 | Bethany Craig Hollar | Nurse Practitioner | 730 Malcolm Blvd Ste 150, Connelly Springs, NC 28612 | 2015-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811144 | Alice Bradshaw Callis | Nurse Practitioner | 110 Widgeon Dr, Currituck, NC 27929-9628 | 2020-11-04 |
| 1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
| 1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
| 1972103232 | Tauscha Alyse Gerald | Nurse Practitioner | 48 Flora Dr, Benson, NC 27504-8076 | 2020-10-27 |
| 1265031413 | Autumn Grimm | Nurse Practitioner | 511 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2020-10-20 |
| 1619576857 | Candace Allen | Nurse Practitioner | 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 | 2020-10-20 |
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1720686256 | Sheri Elizabeth Maclean | Nurse Practitioner | 117 Ivy Brook Ln, Chapel Hill, NC 27516-8084 | 2020-10-16 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | CONNELLY SPRINGS |
| Zip Code | 28612 |
Please comment or provide details below to improve the information on JENNIFER LYNN BENNETT WILLIAMS.
| 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.