JAMIE JO HADDOCK (NPI# 1396151940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396151940 |
| Entity Type | Individual |
| Full Name | JAMIE JO HADDOCK |
| Credential | NP-C |
| Practice Address |
570 S 8th Ave Elgin OR 97827 |
| Mailing Address |
Po Box 3290 La Grande OR 97850-7290 |
| Practice Telephone | 5414372273 |
| Practice Fax Number | 5414378585 |
| Mailing Telephone | 5419631967 |
| Mailing Fax Number | 5419631837 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201404025NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
570 S 8TH AVE |
| City | ELGIN |
| State | OR |
| Zip Code | 97827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881955771 | Raffaella Sappe Betza | Family Medicine | 570 S 8th Ave, Elgin, OR 97827-9726 | 2012-06-06 |
| 1073995999 | Tracye Fowler | Nurse Practitioner | 570 S 8th Ave, Elgin, OR 97827-9726 | 2015-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043694342 | Grande Ronde Hospital, Inc | Clinic/Center | 570 8th, Elgin, OR 97827 | 2015-07-16 |
| 1548675358 | Kali Gray | Dentist | 1400 Division Street, Elgin, OR 97827 | 2014-07-01 |
| 1548606841 | Elisha Mayes, Dds, PC | Dentist | 570 S. 8th Ave, Elgin, OR 97827 | 2013-05-14 |
| 1477932325 | Grande Ronde Hospital, Inc | Clinic/Center | 1400 Division St, Elgin, OR 97827 | 2015-05-26 |
| 1861703126 | Elgin Health Center LLC | Nurse Practitioner | 720 Albany St, Elgin, OR 97827 | 2010-07-01 |
| 1144496241 | South County Health District | Clinic/Center | 1400 Division St, Elgin, OR 97827 | 2008-05-08 |
| 1710068937 | City of Elgin | Ambulance | 180 N 8th St, Elgin, OR 97827-0128 | 2006-10-17 |
| 1295923498 | Melissa E Coe | Registered Nurse | 1990 Alder, Pob 204, Elgin, OR 97827-0204 | 2007-10-12 |
| 1831246057 | Tempie Bartell | Nurse Practitioner | 720 Albany, Elgin, OR 97827-0908 | 2007-01-03 |
| 1124391743 | Julia Lee Jones | Pharmacist | 71727 Evers Canyon Rd, Elgin, OR 97827-8166 | 2012-02-13 |
| Find all providers in zip 97827 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496328 | Kellie Soria | Nurse Practitioner | 8600 Showers Dr, Elgin, TX 78621-5278 | 2020-10-26 |
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1083266878 | Jean K Kombwa | Nurse Practitioner | 66 Grove Ct, Elgin, IL 60120-5588 | 2019-07-11 |
| 1407416324 | Gloria Benoit Williams | Nurse Practitioner | 889 Royal Oak Way, Elgin, SC 29045-8012 | 2019-06-13 |
| 1538681671 | Josephina Pilolli | Nurse Practitioner | 2490 Bushwood Dr, Unit F, Elgin, IL 60124 | 2017-07-11 |
| 1598204638 | Kimberly Horton | Nurse Practitioner | 153 Dawson Dr, Elgin, IL 60120-6409 | 2017-02-22 |
| 1073961314 | Annie Kluch | Nurse Practitioner | 801 Villa St, Elgin, IL 60120-8001 | 2016-05-26 |
| 1639543937 | Grace Marie Roxas | Nurse Practitioner | 2025 Salem Road, Elgin, IL 60123-9006 | 2015-11-24 |
| 1942674585 | Monica Rose Herdrich | Nurse Practitioner | 1665 Larkin Ave, Elgin, IL 60123-5977 | 2015-11-19 |
| 1073995916 | Betty Lois Pratt | Nurse Practitioner | 373 Summit St Ste 102, Elgin, IL 60120-3748 | 2015-06-28 |
| Find all providers in ELGIN | ||||
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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.