DR. JACLYN S QUALTER (NPI# 1174543730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174543730 |
| Entity Type | Individual |
| Full Name | DR. JACLYN S QUALTER |
| Credential | NP |
| Practice Address |
120 W Washington Street Nashville NC 27856 |
| Mailing Address |
120 W Washington St Nashville NC 27856-1378 |
| Practice Telephone | 2524622632 |
| Practice Fax Number | 8555155153 |
| Mailing Telephone | 2524622632 |
| Mailing Fax Number | 8555155153 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2015-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
205035 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
120 W WASHINGTON STREET |
| City | NASHVILLE |
| State | NC |
| Zip Code | 27856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962751 | John Eaton | Technician | 762 Harare Lane, Nashville, NC 27856 | 2019-10-04 |
| 1073037735 | Ashley Hicks | Licensed Practical Nurse | 5972 Haywood Dr, Rocky Mount, NC 27856 | 2017-08-03 |
| 1538263173 | Progressive Rehab, Inc. | Clinic/Center | 143 Nashville Commons Drive, Nashville, NC 27856 | 2006-09-12 |
| 1699219311 | Sheryl Umstead | Counselor | 884 Robbins Lane, Nashville, NC 27856-0603 | 2016-12-14 |
| 1013043751 | Nash County Health Department | Clinical Medical Laboratory | 214 S Barnes St, Box 849, Nashville, NC 27856-0849 | 2007-02-26 |
| 1689954901 | By Faith Home Care Services, Inc | Home Health | 501 Western Ave, Nashville, NC 27856-1123 | 2011-08-17 |
| 1497880033 | County of Nash | Clinic/Center | 214 S Barnes St, Nashville, NC 27856-1204 | 2007-02-23 |
| 1013218395 | Rebecca I Wilkins | Dietitian, Registered | 214 S Barnes St, Nashville, NC 27856-1204 | 2010-11-03 |
| 1043423544 | Lori B. Taylor | Registered Nurse | 214 S Barnes St, Nashville, NC 27856-1204 | 2007-05-08 |
| 1144408394 | Bullock Family Care Home of Nashville Inc. | Custodial Care Facility | 619 S Boddie St, Nashville, NC 27856-1229 | 2008-02-08 |
| Find all providers in zip 27856 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089771 | Tawana Sheri Mobley | Nurse Practitioner | 443 Donelson Pike Ste 200, Nashville, TN 37214-3571 | 2018-07-03 |
| 1083037279 | Laura C Wasielewski | Nurse Practitioner | 2400 Patterson St Ste 307, Nashville, TN 37203-6532 | 2014-01-24 |
| 1679198469 | Shannon Davies | Nurse Practitioner | 1035 14th Ave N, Nashville, TN 37208-3050 | 2020-06-08 |
| 1689174658 | Elizabeth Erin Coughlin | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2305 | 2018-02-16 |
| 1417489717 | Jessica Marie Price | Nurse Practitioner | 1001 Capital Funds Ct, Nashville, TN 37217-3937 | 2017-03-28 |
| 1659825479 | Candy Stancil | Nurse Practitioner | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2016-08-10 |
| 1265884050 | Katie Samantha Williams | Nurse Practitioner | 333 Commerce St Ste 700, Nashville, TN 37201-1835 | 2016-07-06 |
| 1932577236 | Natasha Wilson | Nurse Practitioner | 2000 Richard Jones Rd Ste 220, Gold Skin Care Center, Nashville, TN 37215-2885 | 2015-09-03 |
| 1184022469 | Callie Darragh | Nurse Practitioner | 1313 21st Ave S, Suite 808, Nashville, TN 37232-4753 | 2014-12-18 |
| 1598192627 | Emilie Kate Biniker | Nurse Practitioner | 820 Gale Ln, Siloam Family Health Center, Nashville, TN 37204-3012 | 2013-10-03 |
| Find all providers in NASHVILLE | ||||
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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.