JACQUELINE WAIT (NPI# 1104308360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104308360 |
| Entity Type | Individual |
| Full Name | JACQUELINE WAIT |
| Credential | FNP-C |
| Practice Address |
2511 Old Cornwallis Rd Ste 200 Durham NC 27713-1869 |
| Mailing Address |
723 Burnside Trl Hendersonville NC 28792-8640 |
| Practice Telephone | 8449325700 |
| Practice Fax Number | 8664689889 |
| Mailing Telephone | 8285134324 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
5010932 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2511 OLD CORNWALLIS RD STE 200 |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134111057 | Vivian Jill Lowery | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713 | 2005-08-17 |
| 1124627112 | Darby Shea Mccall | Physician Assistant | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-10-21 |
| 1902405095 | Brandy Clark | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-10-20 |
| 1750997896 | Laura Camille Schnoor | Physician Assistant | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-09-22 |
| 1386254068 | Courtney Elisabeth Frady | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-08-06 |
| 1053920181 | Candice Ann Hayes | Physician Assistant | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-07-24 |
| 1447876396 | Emily Cline | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-06-17 |
| 1336763176 | Fatoumata Bah | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-06-07 |
| 1134740137 | Traci Gregory | Registered Nurse | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-04-30 |
| 1922631423 | Rachel Hargis | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699244525 | Elizabeth Devore | Nurse Practitioner | 40 Duke Medicine Circle Clinic Il, Durham, NC 27710-0001 | 2018-11-20 |
| 1649677931 | Laura Ann Lewis | Nurse Practitioner | Dumc 3118 466 G Seeley Mudd Building, Durham, NC 27710-0001 | 2014-12-02 |
| 1255940706 | Alicia Mebane Mcmillan | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2020-07-29 |
| 1083223879 | Stanisha Natrice Williams | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2020-07-28 |
| 1770132896 | Michael Anthony Moore | Nurse Practitioner | 508 Fulton St, Attn Dr. Campbell. Va Gnp Program, Durham, NC 27705-3875 | 2019-09-11 |
| 1447722301 | Jessica H. Steiner | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2018-12-17 |
| 1568930196 | Kathryn Hord | Nurse Practitioner | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2018-11-13 |
| 1750881983 | Launiece D Newton | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2018-02-14 |
| 1932619350 | Afua Adutwumwaa Antwi | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2017-10-11 |
| 1588112908 | Casey Vinett | Nurse Practitioner | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 | 2016-09-14 |
| Find all providers in DURHAM | ||||
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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.