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JERRY RENESIS
NPI 1518767516
Student in an Organized Health Care Education/Training Program in Roanoke, VA

Active since March 18, 2025
2111 WOODLAND RD SE, ROANOKE, VA 24014(757) 285-7710 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jerry Renesis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY RENESIS (NPI 1518767516) is an individual student in an organized health care education/training program in Roanoke, Virginia and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1518767516
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJERRY RENESIS
Location Address2111 WOODLAND RD SERoanoke, VA 24014-4641
Mailing Address2111 Woodland Rd SeRoanoke, VA 24014-4641
Phone(757) 285-7710
Sole ProprietorNo
Enumeration DateMarch 18, 2025
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1518767516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2111 WOODLAND RD SE, Roanoke, VA 24014
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Renesis's NPI number?

The NPI number for Jerry Renesis is 1518767516. It was assigned to this individual provider in the NPPES registry on March 18, 2025.

Where is Jerry Renesis located?

Jerry Renesis practices at 2111 Woodland Rd SE, Roanoke, VA 24014. The listed phone number is (757) 285-7710.

What is Jerry Renesis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jerry Renesis was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.