MRS. JENNIFER LEIGH ERICKSON (NPI# 1962825745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962825745 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LEIGH ERICKSON |
| Other Name | MS. JENNIFER LEIGH GUYLER |
| Credential | PA-C |
| Practice Address |
3573 Hillsborough Rd Durham NC 27705-9614 |
| Practice Telephone | 8663892727 |
| Practice Fax Number | 4016529787 |
| Mailing Telephone | 8663892727 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001005346 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9107763 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316490923 | Jennifer Erickson | Occupational Therapist | 18712 Windy Knoll Dr, Yorba Linda, CA 92886-4229 | 2016-07-31 |
| 1497101620 | Jennifer Erickson | Counselor | 10015 W Broad St, Glen Allen, VA 23060-6406 | 2016-05-06 |
| 1275541526 | Jennifer Lynn Erickson | Chiropractor | 9 Belfair Point Dr, Bluffton, SC 29910-4725 | 2006-08-03 |
| 1699713958 | Jennifer Erickson | Social Worker | 4699 Huntwicke Dr, Hilliard, OH 43026-7950 | 2006-06-02 |
| 1619523396 | Jennifer Megann Erickson | Speech-Language Pathologist | 312 S West St, Cambridge, IL 61238-1430 | 2019-08-17 |
| 1871078881 | Jennifer Erickson | Behavioral Analyst | 1105 W Russell St, Sioux Falls, SD 57104-1322 | 2018-09-26 |
| 1487172854 | Jennifer Lynn Erickson | Speech-Language Pathologist | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2017-09-06 |
| 1457804536 | Jennifer Erickson | Occupational Therapy Assistant | 9370 Olde 8 Rd, Northfield, OH 44067-2046 | 2016-07-26 |
| 1346650900 | Jennifer Erickson | Speech-Language Pathologist | 1772 Steiger Lake Ln, Victoria, MN 55386-7723 | 2014-05-05 |
| 1720400047 | Jennifer G Erickson | Counselor | 200 Mercy Dr, Dubuque, IA 52001-7303 | 2014-01-07 |
| Street Address |
3573 HILLSBOROUGH RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-9614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891898599 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3573 Hillsborough Rd, Durham, NC 27705-2916 | 2006-09-07 |
| 1043725112 | Emily Elizabeth Radford Ryan | Nurse Practitioner | 3573 Hillsborough Rd, Durham, NC 27705-2916 | 2017-12-11 |
| 1710362280 | Marisa Persaud | Physician Assistant | 3573 Hillsborough Rd, Durham, NC 27705-2916 | 2015-07-27 |
| 1821491663 | Timothy Ross Carlisle | Pharmacist | 3573 Hillsborough Rd, Durham, NC 27705-2916 | 2014-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1801402896 | Kristy Marie Stevlingson | Physician Assistant | 2211 Hillsborough Rd Apt 4081, Durham, NC 27705-4163 | 2020-09-16 |
| 1700490877 | Alice Curchin | Physician Assistant | 813 N Buchanan Blvd Apt 4, Durham, NC 27701-1563 | 2020-09-04 |
| 1366056434 | Katherine Monjaras | Physician Assistant | 2901 Bertland Ave Apt 1538, Durham, NC 27705-6829 | 2020-09-04 |
| 1659980233 | Belinda Kim Khou | Physician Assistant | 501 Willard St Apt 215, Durham, NC 27701-3285 | 2020-07-29 |
| 1568080943 | Katherine Jean Hauler | Physician Assistant | 3802 Meriwether Dr Apt L, Durham, NC 27704-2855 | 2020-07-11 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1225668536 | Ashley Lynn Biggs | Physician Assistant | 4302 Waterford Valley Dr Apt 1911, Durham, NC 27713-8353 | 2020-01-26 |
| 1710546007 | Lauren Deruyter | Physician Assistant | 40 Duke Medicine Cir # 3j, Durham, NC 27710-4000 | 2019-06-10 |
| 1295202505 | Nathaniel Quinley | Physician Assistant | Duke Clinic 40 Duke Medicine Circle, Durham, NC 27710-0001 | 2018-10-25 |
| Find all providers in DURHAM | ||||
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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.