JENNIFER L. STIRE (NPI# 1912438706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912438706 |
| Entity Type | Individual |
| Full Name | JENNIFER L. STIRE |
| Credential | FNP |
| Practice Address |
1319 Sunset Dr Ste 103 Johnson City TN 37604-7901 |
| Mailing Address |
Po Box 699 Mountain Home TN 37684-0699 |
| Practice Telephone | 4234397246 |
| Practice Fax Number | 4232824698 |
| Mailing Telephone | 4234397246 |
| Mailing Fax Number | 4232824698 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |
| 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 |
NP22025 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1319 SUNSET DR STE 103 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-7901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336408996 | Medical Education Assistance Corporation | Clinical Medical Laboratory | 1319 Sunset Dr Ste 103, Johnson City, TN 37604 | 2012-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| 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 |
|---|---|---|---|---|
| 1013462407 | Ariel Denton | Nurse Practitioner | 301 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-2364 | 2016-08-16 |
| 1194119404 | Anna K. Justice | Nurse Practitioner | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2015-03-25 |
| 1083045074 | Octavia Lynne Flanagan | Nurse Practitioner | 2151 Century Ln, Johnson City, TN 37604-4469 | 2013-12-02 |
| 1801161021 | Jana C Flynn | Nurse Practitioner | 1319 Sunset Dr, Suite 103, Johnson City, TN 37604-3799 | 2012-03-21 |
| 1679841357 | Charlene Marie Greer | Nurse Practitioner | 33-57 Harrison Street, Johnson City, NY 13790-2558 | 2011-12-08 |
| 1568502706 | Iris Gaynell Norman | Nurse Practitioner | 415 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2007-02-07 |
| 1477585818 | Sadie P. Hutson | Nurse Practitioner | 807 University Pkwy, Nicks Hall, Room 160, Johnson City, TN 37614-6500 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1073143756 | Tailar Murphy | Nurse Practitioner | 2004 Hayes St Ste 310, Nashville, TN 37203-2653 | 2020-01-22 |
| 1528616687 | Melanie Hall Morris | Nurse Practitioner | 1120 Arrowhead Dr, Brentwood, TN 37027-7475 | 2019-08-30 |
| 1053884833 | E. Lauren Mclean, Apn, LLC | Nurse Practitioner | 300 Stonecrest Blvd Ste 250, Smyrna, TN 37167-6832 | 2019-01-04 |
| 1548719313 | Lauren Michelle Grude | Nurse Practitioner | 7106 Sugar Maple Dr, Fairview, TN 37062-9338 | 2016-09-22 |
| 1760852198 | Mitna Ngo | Nurse Practitioner | 2201 Murphy Ave Ste 308, Nashville, TN 37203-1960 | 2015-09-28 |
| 1720455629 | Catherine Jaynes Mukherji | Nurse Practitioner | 6 Castlewood Ct, Nashville, TN 37215-4617 | 2015-08-26 |
| 1740678986 | Melanie Sophia Krishnamurthy | Nurse Practitioner | 4323 Carothers Pkwy Ste 208, Franklin, TN 37067-5916 | 2014-12-22 |
| 1124441928 | Marsha Sanderson | Nurse Practitioner | 529 Williamsburg Dr, Atoka, TN 38004-7893 | 2014-01-29 |
| 1255696126 | Diary L. Prater | Nurse Practitioner | 4976 Gardenwood Dr, Memphis, TN 38116-7916 | 2012-07-06 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.