MS. JENNIFER LONG


Address: 2920 Mcintyre Dr, Suite 305, Bloomington, IN 47403-4221
Phone: 8123364947

MS. JENNIFER LONG (NPI# 1962685487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962685487
Entity Type Individual
Full Name MS. JENNIFER LONG
Credential NP
Practice Address 2920 Mcintyre Dr
Suite 305
Bloomington
IN 47403-4221
Practice Telephone 8123364947
Practice Fax Number 8123363661
Mailing Telephone 8123364947
Mailing Fax Number 8123363661
Enumeration Date 2007-12-06
Last Update Date 2007-12-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 71001198A IN Physician Assistants & Advanced Practice Nursing Providers

Other Providers JENNIFER LONG

NPI Name Taxonomy Address Enumeration
1215595178 Jennifer Long Acupuncturist 1245 N Riverside Ave Ste 14, Medford, OR 97501-4655 2019-06-04
1265990501 Jennifer Long Chiropractor 17280 Cherrywood Ct Unit 6002, Bonita Springs, FL 34135-8957 2019-03-06
1891221792 Jennifer Mildred Long Social Worker 3314 16th Ave Se Ste 205, Conover, NC 28613-9694 2017-05-11
1164979159 Jennifer Long Registered Nurse 1400 Sylvan Cir, Rochester Hills, MI 48307-2967 2016-09-07
1982054565 Jennifer Elizabeth Long Occupational Therapist 2090 State Route 27, Suite 105, Low Vision Center of Central New Jersey, North Brunswick, NJ 08902-3450 2016-06-15
1154794956 Jennifer Long Audiologist Uwmc Center On Human Development and Disability, 1959 Ne Pacific St., Seattle, WA 98195 2015-11-03
1629395538 Jennifer Long Pharmacist 446 W Main St, Monongahela, PA 15063-2552 2010-05-01
1831334952 Jennifer Ann Long Counselor 1351 Frost Avenue, Senior Recovery Program, St. Paul, MN 55109 2008-12-03
1669657748 Jennifer Lynn Long Otolaryngology 200 Medical Plaza Suite 550, Los Angeles, CA 90095-6975 2008-01-08
1790830065 Jennifer Lynn Long Physical Therapist 7158 Schock Rd, Palms, MI 48465-9716 2007-01-24

Office Location

Street Address 2920 MCINTYRE DR
SUITE 305
City BLOOMINGTON
State IN
Zip Code 47403-4221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649265869 Janis Farquhar Stevenson Nurse Practitioner 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 2005-09-14
1356532113 Bloomington Sleep Specialists, LLC Internal Medicine 2920 Mcintyre Dr, Suite 350, Bloomington, IN 47403-4221 2007-08-07
1982762415 Wygonda Kay Rogers Nurse Practitioner 2920 Mcintyre Dr, Suite 305, Bloomington, IN 47403-4221 2006-12-05
1699854745 Ent Associates of Southern Indiana, P.C. Otolaryngology 2920 Mcintyre Dr, Suite 350, Bloomington, IN 47403-4221 2006-11-02
1952487639 Alice B Wood Obstetrics & Gynecology 2920 Mcintyre Dr, Suite 250, Bloomington, IN 47403-4221 2006-10-27
1609952332 Andy J. Stafford Obstetrics & Gynecology 2920 Mcintyre Dr, Suite 250, Bloomington, IN 47403-4221 2006-10-27
1467538124 Robert E Wrenn Obstetrics & Gynecology 2920 Mcintyre Dr, Suite 250, Bloomington, IN 47403-4221 2006-10-27
1629182233 Monroe Surgical Associates Obstetrics & Gynecology 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 2006-08-19
1205843323 Quyen Ngoc Tran Nurse Anesthetist, Certified Registered 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 2006-08-02
1306862156 Elizabeth A Thompson Audiologist-Hearing Aid Fitter 2920 Mcintyre Dr, Suite 350, Bloomington, IN 47403-4221 2006-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043783673 Brook Whitaker Registered Nurse 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 2019-01-07
1598251175 Jacob Edward Lundorf Nurse Practitioner 2100 S Liberty Dr Ste B, Bloomington, IN 47403 2018-07-06
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1295276160 Indiana Center for Recovery, LLC Substance Abuse Rehabilitation Facility 1004 W 1st Street, Bloomington, IN 47403 2017-03-13
1144694217 Kayla Dewolf Specialist/Technologist 1471 W Allen St, Bloomington, IN 47403 2015-11-30
1164806444 Monroe Hosoital General Acute Care Hospital 4011 Monroe Medical Park, Bloomington, IN 47403 2015-07-16
1821411588 Jennifer Turner Occupational Therapy Assistant 1023 West Main St, Swiss Villa, Vevay, IN 47403 2014-01-30
1104170232 Kendall Basore Social Worker 445 S. Landmark Ave., Bloomington, IN 47403 2012-10-26
1568715886 Indiana Hearing LLC Hearing Aid Equipment 2019 S Liberty Dr, Bloomington, IN 47403 2012-10-24
1679870232 Accurate Hearing Services Clinic/Center 1355 W Second St, #3, Bloomington, IN 47403 2011-02-17
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821615485 Denise Michelle Alexander Nurse Practitioner 815 West 2nd Street, Bloomington, IN 47403-2212 2020-06-30
1578198420 Jessica Ashley Wargo Nurse Practitioner 1319 N Veterans Pkwy Ste 3b, Bloomington, IL 61704-6428 2020-03-10
1598251175 Jacob Edward Lundorf Nurse Practitioner 2100 S Liberty Dr Ste B, Bloomington, IN 47403 2018-07-06
1275084170 Christina Lisowski Nurse Practitioner 2412 E Washington St Ste 4b, Bloomington, IL 61704-1613 2016-10-17
1528479771 Cura Medical Group, LLC Nurse Practitioner 13 Red Stone Ct, Bloomington, IL 61704-8403 2014-05-09
1790118586 Anastasia Kovalaske Nurse Practitioner 1401 Eastland Dr Suite B, Bloomington, IL 61761-3514 2013-08-15
1528342730 Theresa Rose Woodard Nurse Practitioner 3209 W Fullerton Pike Ste E, Bloomington, IN 47403-4060 2011-10-06
1205160975 Stacey Kaye England Nurse Practitioner 123 S Franklin Rd, Bloomington, IN 47404-5296 2009-09-28
1700065505 Joan Marie Goodman Nurse Practitioner 383 S. Park Ridge Rd., Ste 102, Bloomington, IN 47401-8574 2007-10-29
1376638262 Rose M Seguin Nurse Practitioner 421 S College Ave, Bloomington, IN 47403-1514 2006-10-04
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Competitor

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City BLOOMINGTON
Zip Code 47403

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Dataset Information

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.

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