Jessica Leigh Ketner · Nurse Practitioner

3762 Durham Rd Ste A, Roxboro, NC 27573-2741

Overview

Jessica Leigh Ketner is a Nurse Practitioner practicing in Roxboro, North Carolina. The National Provider Identifier (NPI) is #1306254222, which was assigned on July 23, 2014, and the registration record was last updated on March 20, 2025. The practitioner's main practice location is at 3762 Durham Rd Ste A, Roxboro, NC 27573-2741; the contact telephone number is 3363300400. The primary taxonomy of Jessica Leigh Ketner is Nurse Practitioner (363L00000X). Jessica Leigh Ketner is licensed to practice in the state of North Carolina (#5015241), Tennessee (#18846).

(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.

Provider Information

NPI 1306254222
Entity Type Individual
Provider Name JESSICA LEIGH KETNER
Gender Female
Credential FNP
Practice Address 3762 Durham Rd Ste A
Roxboro
NC 27573-2741
Practice Telephone 3363300400
Mailing Address 330 Seven Springs Way
Brentwood
TN 37027-5098
Mailing Telephone 6159207000
Certification Date 2025-03-20
Enumeration Date 2014-07-23
Last Update Date 2025-03-20
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 8628298247
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name JESSICA KETNER
Primary Specialty NURSE PRACTITIONER
Organization Legal Name EMERGENCY COVERAGE LLC
Address 1607 S Locust Ave Hwy 43
Lawrenceburg
TN 38464-4011

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363L00000XNurse Practitioner5015241NC
N363LF0000XNurse PractitionerFamily18846TN

Secondary Practice Locations

AddressTelephoneFax
700 US 1 Hwy, Youngsville, NC 2759678729195622340

Taxonomy Information

Primary Taxonomy

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

Other Taxonomy

Code 363LF0000X
Taxonomy Family Nurse Practitioner
Classification Nurse Practitioner
Specialization Family
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

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Location Information

Street Address 3762 DURHAM RD STE A
City ROXBORO
State NC
Zip Code 27573-2741
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Pcgh, Inc 202 N. Main Street, Roxboro, NC 27573-0721Mental Illness Community Based Residential Treatment Facility2007-01-30
Pcgh, Inc 202 N Main Street, Roxboro, NC 27573-0721Developmentally Disabled Services Day Training Agency2007-01-29
Catherine Brandi Horne Mcdaniel 799 Doctors Ct, Roxboro, NC 27573-4571Physical Therapist2009-08-27
Pcgh, Inc 202 N. Main Street, Roxboro, NC 27573-0721Mental Illness Community Based Residential Treatment Facility2007-01-30
Sonalee Patel 107 Weeks Dr, Roxboro, NC 27573-3929Family Medicine Physician2025-07-22
Pcgh, Inc 202 N. Main Street, Roxboro, NC 27573-0721Mental Illness Community Based Residential Treatment Facility2007-01-29
Dva Renal Healthcare Inc 1005 Ridge Rd, Roxboro, NC 27573-4513End-Stage Renal Disease (ESRD) Treatment Clinic/Center2006-03-21
Latasha Bradford 28 Landon Pl, Roxboro, NC 27573-4291Registered Nurse2025-07-16
Pcgh, Inc 202 N. Main Street, Roxboro, NC 27573-0721Mental Illness Community Based Residential Treatment Facility2007-01-30
Pcgh, Inc 607 Henry Street, Roxboro, NC 27573Community/Behavioral Health Agency2013-09-12
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.