NPI

Jennifer Childress

NPI 1184166068

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
NP
Type
Individual
Enumeration date
2016-11-09
Last updated
2020-11-20

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Specialties

Licenses

License NC
F1116196

Location

Practice location
5229 Rock Creek Road
City
Hays NC
Postal code
28635
Phone
(336) 696-2711

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Hays, NC. 11 records in the public file.

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