JACQUELINE RUARK SMITH (NPI# 1376554303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376554303 |
Entity Type | Individual |
Full Name | JACQUELINE RUARK SMITH |
Credential | CRNP |
Practice Address |
8 Denton Plz Denton MD 21629-9501 |
Mailing Address |
1400 Front Ave Ste 300 Lutherville MD 21093-5364 |
Practice Telephone | 4436062300 |
Practice Fax Number | 4436062305 |
Mailing Telephone | 4102967190 |
Mailing Fax Number | 4439917768 |
Enumeration Date | 2006-08-11 |
Last Update Date | 2017-11-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R073073 | MD | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811503543 | Jacqueline Maree Smith | Counselor | 8877 Frankway Dr Apt 4442, Houston, TX 77096-1909 | 2020-09-18 |
1336761816 | Jacqueline Smith | Behavior Technician | 2810 Premiere Pkwy, Duluth, GA 30097-5014 | 2020-05-07 |
1659925337 | Jacqueline Gajewski Smith | Nurse Practitioner | 130 Se Crestwood Cir, Stuart, FL 34997-7438 | 2019-07-30 |
1639737810 | Jacqueline Brooks Smith | Registered Nurse | 3570 Cherry Run Rd, Rimersburg, PA 16248-5628 | 2019-06-03 |
1366907941 | Jacqueline Lynette Smith | Student in an Organized Health Care Education/Training Program | 9258 Culebra Rd Ste 140, San Antonio, TX 78251-2877 | 2019-02-07 |
1902256373 | Jacqueline Smith | Speech-Language Pathologist | 1110 Chestnut St, Fremont, OH 43420-4312 | 2016-06-16 |
1225405293 | Jacqueline Deana Smith | Registered Nurse | 3187 E Hudson St, Columbus, OH 43219-1632 | 2015-08-26 |
1174999395 | Jacqueline A Smith | Home Health | 3730 Fm 1960 Rd W Ste 210, Houston, TX 77068-3508 | 2015-08-12 |
1255710851 | Jacqueline Smith | Counselor | 40 Dimock Services, Roxbury, MA 02119-0000 | 2015-05-28 |
1013353432 | Jacqueline Marie Smith | Recreation Therapist | 2616 Erwin Ave, Dupont, WA 98327-8758 | 2013-05-13 |
Street Address |
8 DENTON PLZ |
City | DENTON |
State | MD |
Zip Code | 21629-9501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487251997 | Umms Ambulatory Care LLC | Clinic/Center | 8 Denton Plz, Denton, MD 21629-9501 | 2020-10-07 |
1174183073 | Doris Tawiah | Nurse Practitioner | 8 Denton Plz, Denton, MD 21629-9501 | 2019-06-13 |
1295238509 | Bernadette Morrissey Wood | Nurse Practitioner | 8 Denton Plz, Denton, MD 21629-9501 | 2018-03-13 |
1720590789 | Shayna Marie Kerr | Nurse Practitioner | 8 Denton Plz, Denton, MD 21629-9501 | 2017-10-31 |
1447409529 | Oluwaseun Oluwadamilola Ross | Nurse Practitioner | 8 Denton Plz, Denton, MD 21629-9501 | 2008-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518423060 | Marilyn Serino | Social Worker | 207 South 7th Street, Denton, MD 21629 | 2019-02-20 |
1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
1487136404 | Thomas J. Yoder | Physical Therapist | 103 South 7th Street, Denton, MD 21629 | 2018-09-06 |
1821512773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21 Denton Plz, Denton, MD 21629 | 2017-08-02 |
1548708803 | Board of Child Care of The Umc Inc | Community/Behavioral Health | 27993 Substation Rd, Denton, MD 21629 | 2017-02-07 |
1598219156 | Deanna Mcmullen | Physical Therapist | 1140 Blades Farm Rd Ste 201, Denton, MD 21629 | 2016-08-11 |
1538574314 | Medha Satyarengga | Internal Medicine | 1140 Blades Farm Rd Ste 101, Denton, MD 21629 | 2014-06-30 |
1104147586 | Kimberly Schall | Physical Therapist | 103 S. 7th Steet, Denton, MD 21629 | 2010-06-19 |
1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 2009-08-06 |
1285896951 | Carolyn F. Witt | Social Worker | 606 Sunnyside St., Denton, MD 21629 | 2008-06-25 |
Find all providers in zip 21629 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124629639 | Tania Castleman | Nurse Practitioner | 2028 Chandler Dr, Denton, TX 76209-1616 | 2020-11-03 |
1487251765 | Anna Rose Beccone | Nurse Practitioner | 3537 S I 35 E Ste 317, Denton, TX 76210-6870 | 2020-10-08 |
1316566599 | Heather Ashley Medaris | Nurse Practitioner | 2800 Frontier Dr, Denton, TX 76210-1200 | 2020-04-08 |
1124662028 | Kyle David Motsenbocker | Nurse Practitioner | 2700 Cedar Creek Ln Apt 1226, Denton, TX 76210-2110 | 2019-11-04 |
1780148783 | Cassandra Jeanette Gutierrez | Nurse Practitioner | 1119 Collier St Ste 100, Denton, TX 76201-6579 | 2019-01-24 |
1679043095 | Yasmin Lakhani | Nurse Practitioner | 2501 Scripture St Ste 103, Denton, TX 76201-2314 | 2018-11-28 |
1750879565 | Abisola Abosede | Nurse Practitioner | 1201 Bayfield St, Denton, TX 76209-3547 | 2018-04-26 |
1124529490 | Maria Tranquilina Jimenez | Nurse Practitioner | 4206 S Interstate 35 E, Denton, TX 76207 | 2018-02-22 |
1477067387 | Jaime Elizabeth Mendez | Nurse Practitioner | 209 N Bonnie Brae St Ste 203, Denton, TX 76201-3748 | 2017-11-30 |
1861919144 | Mary Lenore Garcia | Nurse Practitioner | 2435 W. Oak St., Suite 103, Denton, TX 76201 | 2017-08-28 |
Find all providers in DENTON |
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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.