JACQUELINE MARIE FERDOWSALI


Address: 200 Ne Mother Joseph Pl Ste 330, Vancouver, WA 98664-3288
Phone: 3605142990

JACQUELINE MARIE FERDOWSALI (NPI# 1215278759) 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) 1215278759
Entity Type Individual
Full Name JACQUELINE MARIE FERDOWSALI
Credential A.G.A.C.N.P
Practice Address 200 Ne Mother Joseph Pl Ste 330
Vancouver
WA 98664-3288
Mailing Address Po Box 4390
Carson City
NV 89702-4390
Practice Telephone 3605142990
Mailing Telephone 7754457650
Mailing Fax Number 7758824206
Enumeration Date 2013-03-07
Last Update Date 2020-04-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner AP60879539 WA Physician Assistants & Advanced Practice Nursing Providers
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
11330828-4405 UT Physician Assistants & Advanced Practice Nursing Providers
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
APN001499 NV Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1470 Medical Pkwy, Suite 160, Carson City, NV 897034648 7754457650 7758824206

Office Location

Street Address 200 NE MOTHER JOSEPH PL STE 330
City VANCOUVER
State WA
Zip Code 98664-3288

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710993498 Akram Khan Internal Medicine 200 Ne Mother Joseph Pl Ste 330, Vancouver, WA 98664-3288 2006-08-01
1558625186 Bhanu Kiran Patibandla Internal Medicine 200 Ne Mother Joseph Pl Ste 330, Vancouver, WA 98664-3288 2012-06-28
1407110356 Daniel Rubin Seifer Internal Medicine 200 Ne Mother Joseph Pl Ste 330, Vancouver, WA 98664-3288 2012-06-26
1215254867 Shobhit Gupta Internal Medicine 200 Ne Mother Joseph Pl Ste 330, Vancouver, WA 98664-3288 2010-04-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285249938 Angelica Maria Parle-fresquez Speech-Language Pathologist Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 2020-09-10
1467923441 Elizabeth Steen Counselor 230 E. State St., Mossyrock, WA 98664 2018-12-17
1497241657 Chelsey Nicole Parker Peer Specialist 9815 Ne 3rd St, Vancouver, WA 98664 2018-07-10
1881145431 Brent Homan Occupational Therapist 807 Se Morgan Rd., Vancouver, WA 98664 2016-10-19
1114474277 Rebecca Marie Stefan Nurse's Aide 10025 Ne 19th St, Vancouver, WA 98664 2016-09-07
1528454105 Alicia Ford Dietitian, Registered 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 2015-04-10
1033504261 Reid Roberts Bennett Anesthesiology 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 2015-04-03
1235550856 Nikolay Nikolaevich Chernukhin Jr. Chiropractor 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 2013-12-27
1013278712 Serena Harker Physical Therapy Assistant 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 2012-05-30
1295091080 Rebeca C Johnson Massage Therapist 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 2012-04-05
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154833853 Jami Layne Sublett Nurse Practitioner 3425 Se 192nd Ave Ste 106, Vancouver, WA 98683-1440 2017-11-02
1326477365 Acacia Syring Nurse Practitioner 2525 Ne 139th St Ste 240, Vancouver, WA 98686-2719 2013-11-08
1831210749 Shelly L Lafrance Nurse Practitioner 8616 Ne 97th Ct, Vancouver, WA 98662-4227 2007-04-02
1629192075 Payette Clinics, PC Nurse Practitioner 4210 Ne 66th Ave, Suite 111, Vancouver, WA 98661 2007-03-19
1841366036 Edward Rosanski Nurse Practitioner 7507 Ne 51st St Apt Suite, Vancouver, WA 98662 2006-11-28
1881789204 Asmarawork J Measho Nurse Practitioner 7410 E Delaware Ln, Vancouver, WA 98664 2006-10-03
1245291541 Cheryl E Einerson Nurse Practitioner 4421 Ne St Johns Rd Ste F, Family Care & Urgent Medical Clinic, Vancouver, WA 98661-2573 2006-03-28
1376536706 Stephanie J Bennett Nurse Practitioner 1000 Se Tech Center Dr Ste 120, Vancouver, WA 98683-5548 2005-08-31
1740833656 Briana Harmony Witteveen Nurse Practitioner 501 Se 172nd Ave Ste 220, Vancouver, WA 98684-9542 2019-07-19
1902368319 Alexandria Eunsong Yeo Nurse Practitioner 700 Ne 87th Ave, Vancouver, WA 98664-4896 2019-04-03
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Competitor

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City VANCOUVER
Zip Code 98664

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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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