JYOTSNA JEROME


Address: 9809 Shallow Creek Dr, Waco, TX 76708-6199
Phone: 7204370208

JYOTSNA JEROME (NPI# 1467051557) 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) 1467051557
Entity Type Individual
Full Name JYOTSNA JEROME
Practice Address 9809 Shallow Creek Dr
Waco
TX 76708-6199
Practice Telephone 7204370208
Enumeration Date 2020-10-20
Last Update Date 2020-10-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
Technologists, Technicians & Other Technical Service Providers
N 246W00000X Technician, Cardiology Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 9809 SHALLOW CREEK DR
City WACO
State TX
Zip Code 76708-6199

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1851400295 H-e-b, Lp Clinical Medical Laboratory 3801 N 19th St, Waco, TX 76708 2006-08-30
1972527257 Meryl Burchardt Nurse Practitioner 2201 Macarthur, Suite 2200, Waco, TX 76708 2006-07-27
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Taxonomy Information

Taxonomy Code 246RP1900X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Phlebotomy

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1841898939 Hunters Mobile Lab Technician, Pathology 4118 Mineral Haven Dr, Houston, TX 77048-5554 2020-10-12
1316545593 Flinda Gail Rayson Technician, Pathology 13020 Dairy Ashford Rd Ste 110, Sugar Land, TX 77478-4663 2020-10-11
1851907075 Push Phlebotomy LLC Technician, Pathology 1650 7th St Ste 17, Huntsville, TX 77320-3853 2020-09-22
1124634811 Miriam Schindelmeiser Technician, Pathology 205 Quail Creek Dr, Crowley, TX 76036-2209 2020-09-18
1205453354 Ks Health Services, LLC Technician, Pathology 1300b Bay Area Blvd Ste 205, Houston, TX 77058-2564 2020-07-05
1275150864 Elke Giles Technician, Pathology 3725 Mill Height Dr, Arlington, TX 76014-4328 2020-06-29
1043839582 Shuntoyia Yshay Shaw Technician, Pathology 9149 Barbaro Dr Apt 7108, Fort Worth, TX 76140-1889 2020-04-14
1326677295 Brittney Johnson Technician, Pathology 4200 E Stan Schlueter Loop Ste E, Killeen, TX 76542-8300 2020-04-03
1427684794 Karina Verali Paiz Technician, Pathology 1100 Mount Ln, Rhome, TX 76078-5413 2020-03-19
1902444730 Devonda Chantal Wynn Technician, Pathology 16800 Imperial Valley Dr Ste 280, Houston, TX 77060-3161 2019-12-11
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Competitor

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City WACO
Zip Code 76708

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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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