Jacklyn Marie Halpin, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5014839 Issued in NC

Practice address

809 Green Valley Rd Ste 114
Greensboro, NC 27408-7055

Phone

(336) 708-3769

NPI assigned

Aug 5, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aesthetic Couture, PLLC

  • Health Service Clinic/Center
  • Greensboro, NC
  • NPI 1538867312
  NPD Authorized official
• NC Elder Care PLLC

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1962948240
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1124792841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 GREEN VALLEY RD STE 114",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087055",
            "telephone_number": "336-708-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 GREEN VALLEY RD STE 114",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087055",
            "telephone_number": "336-708-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPIN",
        "first_name": "JACKLYN",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5014839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "5014839",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Sandbank Hall, MD
• Neil King Hall, MD
• Tangela S Hall
• Amy Hallisey, RPH
• Gayle Sherise Halpern, MA, LPC
• Megan Halpin, PHARMD
• Brianna Halter
• Onaisa Hamed
• Lisa Ann Hamel, FNP
• Matthew Hamill

• Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.