JEAN-MARIE TYNER (NPI# 1003095167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003095167 |
| Entity Type | Individual |
| Full Name | JEAN-MARIE TYNER |
| Credential | FNP |
| Practice Address |
385 S Orange St El Paso IL 61738-1613 |
| Practice Telephone | 3095274900 |
| Practice Fax Number | 3095273525 |
| Mailing Telephone | 3095274900 |
| Mailing Fax Number | 3095273525 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209006705 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
385 S ORANGE ST |
| City | EL PASO |
| State | IL |
| Zip Code | 61738-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750315602 | Paul E. Hakes | Family Medicine | 385 S Orange St, El Paso, IL 61738-1613 | 2006-07-10 |
| 1861919524 | Carle Eureka Hospital | Clinic/Center | 385 S Orange St, El Paso, IL 61738-1613 | 2017-08-24 |
| 1235216060 | Bromenn Physicians Management Corporation | Family Medicine | 385 S Orange St, El Paso, IL 61738-1613 | 2006-11-01 |
| 1962428003 | Kimberly J. Bankston | Nurse Practitioner | 385 S Orange St, El Paso, IL 61738-1613 | 2006-07-14 |
| 1962428128 | Steven C. Ingalsbe | Family Medicine | 385 S Orange St, El Paso, IL 61738-1613 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619052701 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 137 W. Front Street, El Paso, IL 61738 | 2006-10-26 |
| 1053838755 | Tamara Anderson | Speech-Language Pathologist | 250 W 3rd St, El Paso, IL 61738-1034 | 2017-08-24 |
| 1073733523 | El Paso-gridley Cusd #11 | Local Education Agency (LEA) | 97 W 5th St, El Paso, IL 61738-1049 | 2007-04-26 |
| 1568562858 | El Paso Hco LLC | Skilled Nursing Facility | 850 E 2nd St, El Paso, IL 61738-1309 | 2006-09-25 |
| 1295374122 | El Paso Hco LLC | Skilled Nursing Facility | 850 E 2nd St, El Paso, IL 61738-1309 | 2019-12-23 |
| 1548411705 | Petersen Companies, LLC | Skilled Nursing Facility | 850 E 2nd St, El Paso, IL 61738-1309 | 2008-10-07 |
| 1710921465 | Glenn Webster Payton | Chiropractor | 425 W Front St, El Paso, IL 61738-1422 | 2006-06-15 |
| 1538169081 | Daniel Chester Luban | Chiropractor | 455 W Front St, El Paso, IL 61738-1422 | 2005-07-27 |
| 1053951855 | Paige C. Dennis | Nurse Practitioner | 360 W Lincoln St, El Paso, IL 61738-1433 | 2020-01-09 |
| 1164524831 | Abby Jane Mccarthy | Social Worker | 600 S Fayette St Ste 4, El Paso, IL 61738-1478 | 2006-09-02 |
| Find all providers in zip 61738 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1568062172 | Cinthia B Gomez | Nurse Practitioner | 8401 Edgemere Blvd, El Paso, TX 79925-3922 | 2020-11-01 |
| 1407456072 | Aurora Nichole Apodaca | Nurse Practitioner | 748 Tepic Dr, El Paso, TX 79912-1704 | 2020-10-31 |
| 1043818412 | Ricardo Serrano | Nurse Practitioner | 4300 Bliss Ave, El Paso, TX 79903-1832 | 2020-10-16 |
| 1841897212 | Olivia Silva Juarez | Nurse Practitioner | 617 Paseo Hermoso Dr, El Paso, TX 79928-8419 | 2020-10-07 |
| 1609480540 | Norma M Vega | Nurse Practitioner | 6974 Gateway Blvd E Ste Y, El Paso, TX 79915-1118 | 2020-09-08 |
| 1952914087 | Danika Nikole Davila | Nurse Practitioner | 3270 Joe Battle Blvd Ste 245, El Paso, TX 79938-2651 | 2020-08-28 |
| 1841803095 | Joshua Neal Crawford | Nurse Practitioner | 10615 Sombra Verde Dr, El Paso, TX 79935-3612 | 2020-08-27 |
| 1902419294 | Belinda Esperanza Walker | Nurse Practitioner | 3405 Moonlight Ave, El Paso, TX 79904-1024 | 2020-08-26 |
| 1487264198 | Venessa Jean Tellez | Nurse Practitioner | 10800 Walden Pond St, El Paso, TX 79924-2407 | 2020-08-06 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.