MRS. JACQUELYN LYON SMITH (NPI# 1346625894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346625894 |
Entity Type | Individual |
Full Name | MRS. JACQUELYN LYON SMITH |
Credential | CRNP |
Practice Address |
2740 Headland Ave Dothan AL 36303-1236 |
Practice Telephone | 3347921100 |
Practice Fax Number | 3346714168 |
Mailing Telephone | 3347921100 |
Mailing Fax Number | 3346714168 |
Enumeration Date | 2015-07-27 |
Last Update Date | 2015-07-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-116383 | AL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043640162 | Jacquelyn E Smith | Social Worker | 22275 Green Hill Rd Apt 26, Farmington Hills, MI 48335-4379 | 2013-11-27 |
1659701811 | Jacquelyn E Smith | Social Worker | 2489 Tapo St Unit B, Simi Valley, CA 93063-2453 | 2013-11-25 |
1154769131 | Jacquelyn Smith | Internal Medicine | 3430 Newburg Rd Ste 250, Louisville, KY 40218-2458 | 2013-06-12 |
1700160835 | Jacquelyn Smith | Physical Therapist | 1663 Victoria Cir, Allentown, PA 18103-6474 | 2011-10-07 |
1922572544 | Jacquelyn Aubin Smith | Specialist/Technologist | 915 S Jackson St, Montgomery, AL 36104-5714 | 2019-01-16 |
1730539495 | Jacquelyn Smith | Occupational Therapist | 6640 Iola Ave, Lubbock, TX 79424-7845 | 2016-06-14 |
1811314339 | Jacquelyn Smith | Speech-Language Pathologist | 200 Skiles Blvd, West Chester, PA 19382-7321 | 2014-03-21 |
1922355031 | Jacquelyn Nicole Smith | Pharmacist | 7 Portland St, Rumford, ME 04276-2050 | 2012-08-08 |
1811244817 | Jacquelyn Norry Smith | Social Worker | 1 N Broadway, Suite 704, White Plains, NY 10601-2310 | 2012-08-08 |
1346509510 | Jacquelyn J Smith | Psychologist | 9000 W Wisconsin Ave, B510, Milwaukee, WI 53226-4874 | 2012-05-09 |
Street Address |
2740 HEADLAND AVE |
City | DOTHAN |
State | AL |
Zip Code | 36303-1236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770519324 | Wiregrass Hospice, LLC | Hospice Care, Community Based | 2740 Headland Ave, Dothan, AL 36303-1236 | 2006-06-24 |
1922535400 | Mid-south Home Care Services, LLC | Internal Medicine | 2740 Headland Ave, Dothan, AL 36303-1236 | 2017-05-16 |
1467489385 | Gentiva Certified Healthcare Corp. | Home Health | 2740 Headland Ave, Dothan, AL 36303-1236 | 2006-06-27 |
1174559710 | Mid-south Home Care Services, LLC | Durable Medical Equipment & Medical Supplies | 2740 Headland Ave, Dothan, AL 36303-1236 | 2006-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
Find all providers in zip 36303 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295362408 | Stephen M Pendergraft | Nurse Practitioner | 4740 W Main St, Dothan, AL 36305-9423 | 2020-03-26 |
1689205767 | Sassy Lashawn Sylvester | Nurse Practitioner | 410 Ridgeland Rd, Dothan, AL 36301-1117 | 2020-01-28 |
1700344488 | Gregory Keith Tice | Nurse Practitioner | 1118 Ross Clark Cir Ste 704, Dothan, AL 36301-3030 | 2019-03-12 |
1144732520 | Kasey Duffie Chance | Nurse Practitioner | 211 Brushfire Dr, Dothan, AL 36305-7069 | 2017-10-25 |
1306364062 | Janeetra Janiece Coachman | Nurse Practitioner | 9 Trillium Cir Apt 1401, Dothan, AL 36301-7653 | 2017-09-01 |
1265954010 | Melanie Jo Ellison | Nurse Practitioner | 973 Dunn Rd, Dothan, AL 36303-1056 | 2017-07-13 |
1679012629 | Elva Calderon | Nurse Practitioner | 1736 E Main St Ste 100, Dothan, AL 36301-3040 | 2017-02-22 |
1649610395 | Kelli Saage Anderson | Nurse Practitioner | 1146 Ross Clark Cir, Dothan, AL 36301-3022 | 2013-06-26 |
1902040090 | Cindy Ruth Hemendinger | Nurse Practitioner | 3124 Ross Clark Cir, Dothan, AL 36303-3038 | 2009-04-21 |
1770737249 | Kelley E Blake | Nurse Practitioner | 4300 W Main St Ste 45, Dothan, AL 36305-1317 | 2008-11-11 |
Find all providers in DOTHAN |
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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.