JACKIE TANNER GRIFFIN NP NPI 1316922339

NPI Information

NPI: 1316922339
Provider Name: JACKIE TANNER GRIFFIN, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3803 N ELM ST
GREENSBORO, NC
ZIP 27455
Phone: (336) 540-7075
Get Directions

Jackie Tanner Griffin, NP is a family nurse practitioner in Greensboro, NC. Jackie Tanner Griffin, NP NPI is 1316922339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3803 N ELM ST
GREENSBORO, NC
ZIP 27455-593
Phone: (336) 540-7075
Fax: (888) 882-3919

The NPI 1316922339 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2005 and was last updated on 6/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	900292	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	2802992A	MEDICARE PIN
2	2328528	OTHER	UNITED HEALTHCARE
3	P00312506	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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