MRS. CYNTHIA LEE PROBASCO (NPI# 1033389457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033389457 |
| Entity Type | Individual |
| Full Name | MRS. CYNTHIA LEE PROBASCO |
| Credential | RN |
| Practice Address |
636 Maynard Blvd Jacksonville NC 28546-9106 |
| Mailing Address |
636 Maynard Boulevard Jacksonville NC 28546 |
| Practice Telephone | 9103477596 |
| Practice Fax Number | 9103477596 |
| Mailing Telephone | 9103477596 |
| Mailing Fax Number | 9103477596 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
195141 | NC | Nursing Service Providers |
| Street Address |
636 MAYNARD BLVD |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-9106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778527 | Olamide O Borisade | Registered Nurse | 4870 Deer Lake Dr E Ste 1114, Jacksonville, FL 32246-6301 | 2020-07-27 |
| 1689221533 | Bryan Earl Wright | Registered Nurse | 5331 Shirley Ave, Jacksonville, FL 32210-3149 | 2019-08-23 |
| 1487264636 | Heidi Marie Rebholz | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-08-03 |
| 1811523665 | Jasmine Burch | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-03-12 |
| 1013553650 | Bradley James Wine | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2019-11-19 |
| 1003458787 | Ramona Greene | Registered Nurse | 2080 Child St, Jacksonville, FL 32214-5005 | 2019-10-14 |
| 1205392024 | Michele Pappargeris | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2019-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445721 | Janelle Christine Kozeny | Registered Nurse | 1105 1/2 Arendell St, Morehead City, NC 28557-4129 | 2020-10-19 |
| 1518580992 | Travis Radcliff | Registered Nurse | 4115 Crestwood Cir, Winston Salem, NC 27107-3788 | 2020-05-20 |
| 1881216133 | Antoinette Ford | Registered Nurse | 113 Yorkshire Dr, Salisbury, NC 28144-8534 | 2020-05-09 |
| 1518588409 | Kristin Daniel | Registered Nurse | 865 Hunt Rd, Denton, NC 27239-8858 | 2020-05-01 |
| 1457909285 | Araba Awotwi | Registered Nurse | 1725 Carpenter Fletcher Rd Ste 402, Durham, NC 27713-2271 | 2019-08-26 |
| 1780242412 | Mikhail A Rybin | Registered Nurse | 7502 Malden Park Drive, Charlotte, NC 28215 | 2019-05-29 |
| 1558844340 | Alphonza Faison Jr. | Registered Nurse | 5201 W Market St Ste 108, Greensboro, NC 27409 | 2018-09-08 |
| 1518482710 | Raymond Tanwani Tah | Registered Nurse | 9159 Perseverance Dr, Harrisburg, NC 28075-8388 | 2017-08-08 |
| 1851824114 | Debra Lynn Draper | Registered Nurse | 29330 Nelson Mountain Rd, Albemarle, NC 28001-7520 | 2017-04-04 |
| 1700322401 | Norma Veronica Cyrus | Registered Nurse | 813 Clay Hill Dr, Knightdale, NC 27545-9283 | 2017-01-18 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on MRS. CYNTHIA LEE PROBASCO.
| 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.