JACQUELINE FLYNN


Address: Medical Center Blvd, Winston Salem, NC 27157-0001
Phone: 4049322506

JACQUELINE FLYNN (NPI# 1104215649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104215649
Entity Type Individual
Full Name JACQUELINE FLYNN
Credential PA
Practice Address Medical Center Blvd
Winston Salem
NC 27157-0001
Mailing Address 510 Haven Ridge Dr
Apt 06
Winston Salem
NC 27104-4484
Practice Telephone 4049322506
Mailing Telephone 4049322506
Enumeration Date 2015-01-21
Last Update Date 2015-01-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist 		0010-05531 NC Physician Assistants & Advanced Practice Nursing Providers

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1073924700 Jacqueline Flynn Counselor 846 North Cocoa Blvd, Suite A, Cocoa, FL 32922-3623 2014-05-15
1073058392 Jacqueline Marie Flynn Counselor 231 E Graham Ave, Pryor, OK 74361-2436 2016-12-21

Office Location

Street Address MEDICAL CENTER BLVD
City WINSTON SALEM
State NC
Zip Code 27157-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811990815 Gary Lee Ray Registered Nurse Medical Center Blvd, Winston Salem, NC 27157-0001 2005-05-23
1881295418 Alan Townes Grizzard Nurse Practitioner Medical Center Blvd, Winston Salem, NC 27157-0001 2020-11-02
1003421751 Nicholas Ryan Tuttle Nurse Anesthetist, Certified Registered Medical Center Blvd, Winston Salem, NC 27157-0001 2020-09-10
1356956122 Caitlin Marie Clement Nurse Anesthetist, Certified Registered Medical Center Blvd, Winston Salem, NC 27103 2020-09-09
1376154591 Lori Sansone Flores Nurse Practitioner Medical Center Blvd, Winston Salem, NC 27157-0001 2020-08-11
1821609330 Hannah Carey Walker Physician Assistant Medical Center Blvd, Winston Salem, NC 27157-0001 2020-08-10
1447876883 Raveena Mahesh Chhabria Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-0001 2020-06-22
1780205930 Jason Chin Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-1087 2020-04-29
1972122885 Bryanna Dean Vesely Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-0001 2020-04-10
1679102909 Ameen Barghi Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-2803 2020-04-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255960241 Alexandra Marie Balmaceda Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 2020-04-02
1164916680 Jorie Elizabeth Gatts Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 2018-06-18
1932606555 Alexi Rae Ellington Webb Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-04-10
1851896674 Wasim Muhammad Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-03-25
1336643535 Phillip Martin Kostelic Student in an Organized Health Care Education/Training Program Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 2018-03-21
1831693324 Aleah Bond Student in an Organized Health Care Education/Training Program Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 2018-03-20
1134644859 Ilan Binyamin Klein Urology Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 2017-08-03
1023467529 Edward John Doyle IIi Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 2016-06-07
1477917888 Jordan Mae Burner Student in an Organized Health Care Education/Training Program Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 2016-04-12
1174900476 Kate Elise Winterbottom Speech-Language Pathologist 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 2015-05-06
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740720770 Kristen Marie Martyak Physician Assistant 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2017-02-23
1598117327 Vincent Jodell Hill Jr. Physician Assistant 131 Miller St, Winston Salem, NC 27103-2508 2016-07-05
1851763361 Melvin Nelson Levers IIi Physician Assistant 2010 Baldwin Ln, Winston Salem, NC 27103-5846 2015-10-22
1154709459 Deborah Davis Physician Assistant Medical Center Blvd, Wake Forest School of Medicine, Dept of Ct Surgery, Winston Salem, NC 27157-1096 2015-05-07
1902219447 Keith Bond Physician Assistant 2827 Lyndhurst Ave, Suite 203, Winston Salem, NC 27103-4145 2014-06-03
1376969949 Michele Christine Fiori Physician Assistant Wake Forest Baptist Health, Medical Center Boulevard, Winston Salem, NC 27157-0001 2014-03-06
1164785911 Jeffrey W Williams Physician Assistant Medical Center Blvd, Winston Salem, NC 27157-0001 2012-06-18
1972882405 Brittni Lynn Thomas Physician Assistant 200 Robinhood Medical Plz, Winston Salem, NC 27106-5471 2011-08-15
1437460623 Brian Barkley Peacock Physician Assistant Medical Center Blvd, Winston Salem, NC 27157-0001 2010-06-23
1295052314 Richard David Lowder II Physician Assistant Medical Center Blvd, Winston Salem, NC 27157-0001 2010-04-29
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27157

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Dataset Information

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.

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