JACLYN TARA DELAURETIS (NPI# 1518355270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518355270 |
| Entity Type | Individual |
| Full Name | JACLYN TARA DELAURETIS |
| Credential | PA-C |
| Practice Address |
515 Jerseytown Rd Millville PA 17846-8825 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-9800 |
| Practice Telephone | 5704585597 |
| Practice Fax Number | 5704585114 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | OA003421 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | MA057228 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
515 JERSEYTOWN RD |
| City | MILLVILLE |
| State | PA |
| Zip Code | 17846-8825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093781080 | Michael L. Dubartell | Family Medicine | 515 Jerseytown Rd, Millville, PA 17846-8825 | 2006-02-28 |
| 1982084133 | Brigid Flynn Pugh | Nurse Practitioner | 515 Jerseytown Rd, Millville, PA 17846-8825 | 2015-06-03 |
| 1417909961 | Geisinger Clinic | Pediatrics | 515 Jerseytown Rd, Millville, PA 17846 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467926451 | Joshua William Smith | Specialist/Technologist | 345 School House Lane, Millville, PA 17846 | 2019-01-14 |
| 1265546436 | Nichole Campagna Bieber | Chiropractor | 410 South State Street, Millville, PA 17846 | 2006-08-18 |
| 1295757730 | Millville Community Fire Company | Ambulance | 28 W Main St, Millville, PA 17846 | 2006-07-24 |
| 1659369643 | Millville Leasing Partnership | Skilled Nursing Facility | 48 Haven Lane, Millville, PA 17846 | 2005-10-12 |
| 1215959887 | Colpharm Inc | Pharmacy | 538 S State St, Millville, PA 17846 | 2006-07-24 |
| 1427118652 | Millville Area School District | Local Education Agency (LEA) | 330 Main Street, Millville, PA 17846-0260 | 2006-12-11 |
| 1043672520 | Maybrook-p Millville Opco, LLC | Skilled Nursing Facility | 48 Haven Lane, Millville, PA 17846-0320 | 2016-03-24 |
| 1831456243 | Reliant Millville Holdings LLC | Skilled Nursing Facility | 48 Haven Lane, Millville, PA 17846-0320 | 2012-04-23 |
| 1982814166 | Constance A Scheunemann | Physical Therapist | 8027 Hillside Dr, Millville, PA 17846-8661 | 2007-05-23 |
| 1962400572 | Robert Earle Birth | Pharmacist | 538 S State St, Millville, PA 17846-9219 | 2005-07-08 |
| Find all providers in zip 17846 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477957736 | Samantha Aderholdt | Physician Assistant | 3 Elizabeth Ave, Millville, NJ 08332 | 2014-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
| 1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
| 1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
| 1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
| 1336748425 | Alexis Marie Ivosevic | Physician Assistant | 98 Deer Park Ln, Hawley, PA 18428-8223 | 2020-10-20 |
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1851990170 | Jessica Marie Giordano | Physician Assistant | 201 Penn Valley Ter, Yardley, PA 19067-1028 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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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.