Jean Ann Trull, RN MSN CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

81188 Issued in NC

Practice address

Wake Forest Baptist Health
Medical Center Boulevard
Winston Salem, NC 27157-0001

Phone

(336) 716-4101

NPI assigned

Jan 21, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: jtrull2753517@carolinashealthcaresystem.direct-ci.com

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1962825315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 MADISON AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031422",
            "telephone_number": "336-706-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAKE FOREST BAPTIST HEALTH",
            "address_2": "MEDICAL CENTER BOULEVARD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRULL",
        "first_name": "JEAN ANN",
        "name_prefix": "Ms.",
        "credential": "RN MSN CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "81188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellye Raja Truesdale, DNP, FNP-C
• Mary Truitt
• Yadira Trujillo-Parra
• Jaime E Trujillo, MD
• Truliant Mobile Transport Inc.
• Jennifer Trumble, NP-C
• Elizabeth E Trump, LPC
• David Nathaniel Tryon, MD
• Anastasia Tsagianni, MD
• Elizabeth Joanne Tsao, CRNA

• Pediatric Nurse Practitioner in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.