MRS. NELLA HELENA PEACOCK


Address: 12 Stephens St, Clifton Springs, NY 14432-1056
Phone: 3154626107

MRS. NELLA HELENA PEACOCK (NPI# 1437415015) 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) 1437415015
Entity Type Individual
Full Name MRS. NELLA HELENA PEACOCK
Credential NP
Practice Address 12 Stephens St
Clifton Springs
NY 14432-1056
Practice Telephone 3154626107
Mailing Telephone 3154626107
Enumeration Date 2012-04-08
Last Update Date 2012-04-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
43430570 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12 STEPHENS ST
City CLIFTON SPRINGS
State NY
Zip Code 14432-1056

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1982035259 David Roemer Psychiatry & Neurology 28 E Main Street, Clifton Springs, NY 14432 2013-12-11
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1265482400 Lynn M Sievert Internal Medicine 6 Ambulance Drive, Clifton Springs, NY 14432 2006-05-10
1376531590 Ileana Hernandez Internal Medicine 2 Coulter Rd, Clifton Springs, NY 14432 2005-10-11
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1104483858 Mara Elizabeth Schroeder Physician Assistant 2 Coulter Rd, Clifton Springs, NY 14432 2019-05-28
1972024602 Andrea L Nichols Specialist/Technologist, Other 210 Clifton Springs Professional Park, Clifton Springs, NY 14432 2017-07-03
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912958018 Tracy A Meyer Nurse Practitioner 2 Coulter Rd Ste 2615, Clifton Springs, NY 14432-1122 2006-05-13

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1467069583 Ma Teresa Justine V Balboa Nurse Practitioner 19 Low Ln, Levittown, NY 11756-4511 2020-09-24
1588270151 Cynthia Li Nurse Practitioner 5312 80th St, Elmhurst, NY 11373-4732 2020-09-19
1356956312 Maria Nagel Nurse Practitioner 350 E 30th St Apt 1b, New York, NY 10016-8307 2020-09-15
1699389817 John Paul Talmadge Cagigas Nurse Practitioner 402 N Indiana Ave, Lindenhurst, NY 11757-3423 2020-09-04
1891308615 Peter Marusca Nurse Practitioner 4610 61st St Apt 14a, Woodside, NY 11377-5731 2020-08-31
1760095269 Elizabeth Meder Demas Nurse Practitioner 141 Ridge St Apt A, New York, NY 10002-1804 2020-08-25
1093328593 Melissa Moulton Nurse Practitioner 204 E 77th St Apt 2d, New York, NY 10075-2107 2020-08-25
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Competitor

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City CLIFTON SPRINGS
Zip Code 14432

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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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