JACQUELINE SUSZAN WARE (NPI# 1558670869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558670869 |
| Entity Type | Individual |
| Full Name | JACQUELINE SUSZAN WARE |
| Credential | FNP |
| Practice Address |
112 Cr 356 Greenwood MS 38930-5030 |
| Mailing Address |
123 N Front St Winona MS 38967-2239 |
| Practice Telephone | 6623923631 |
| Practice Fax Number | 6018258130 |
| Mailing Telephone | 6622832505 |
| Mailing Fax Number | 6018258130 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2014-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R853566 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE | P01044475 | 01 |
| MS | 08327741 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033533039 | Jacqueline H Ware | Pharmacist | 401 Carpenter Road, Bldg 525, Andrew Rader Us Army Health Clinic, Ft Myer, VA 22211-1009 | 2014-02-11 |
| 1396198834 | Jacqueline Ware | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302-4639 | 2016-07-20 |
| Street Address |
112 CR 356 |
| City | GREENWOOD |
| State | MS |
| Zip Code | 38930-5030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447871579 | Stewart Health Care Training Academy | Home Health Aide | 522 West Park Avenue Suite S, Greenwood, MS 38930 | 2020-04-29 |
| 1801386487 | Sunflower-humphreys Counties Progress, Inc. | Case Management | 414 Martin Luther King Dr, Indianola, MS 38930 | 2018-05-18 |
| 1053826610 | Sarah Malone | Counselor | 2504 Browing Road, Greenwood, MS 38930 | 2017-12-05 |
| 1780109850 | Jasmine Turner Edwards | Pharmacist | 2202 Us 82 W Frontage Rd, Greenwood, MS 38930 | 2017-08-09 |
| 1861916199 | Maurice Wright | Social Worker | 522 West Park Avenue, Suite Q-r, Greenwood, MS 38930 | 2017-07-28 |
| 1215464607 | Catherine Johnson | Counselor | 522 West Park Avenue, Greenwood, MS 38930 | 2017-05-16 |
| 1598205262 | Vignesh Kannan | Internal Medicine | Greenwood Leflore Hospital, 1401 River Rd, Greenwood, MS 38930 | 2017-03-01 |
| 1952847691 | Mischa Mccray | Counselor | 804 E Park Ave, Greenwood, MS 38930 | 2017-01-18 |
| 1760933147 | Ginger Caldero | Social Worker | 522 West Park Ave, Greenwood, MS 38930 | 2016-10-20 |
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| Find all providers in zip 38930 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322505 | Amy Decker | Nurse Practitioner | 452 Macy Way, Greenwood, IN 46142-7483 | 2020-09-29 |
| 1417574252 | Amanda Rees | Nurse Practitioner | 432 S Emerson Ave Ste 320, Greenwood, IN 46143-1952 | 2020-06-27 |
| 1093330979 | Renee Francine Jones | Nurse Practitioner | 698 Oldfield Commons Dr, Greenwood, IN 46142 | 2020-06-16 |
| 1487287579 | Angela Williams | Nurse Practitioner | 224 Georgia Ave, Greenwood, SC 29646-4642 | 2020-02-17 |
| 1740831015 | Cynthia Louise Lambert | Nurse Practitioner | 21580 Stacey Ln, Greenwood, NE 68366-1776 | 2019-09-26 |
| 1124682315 | Jill Bell Shirley | Nurse Practitioner | 105 Vinecrest Ct Ste 1000, Greenwood, SC 29646-8031 | 2019-04-24 |
| 1609332840 | Donna Luckett | Nurse Practitioner | 210 Amanda Dr Apt 15b, Greenwood, MS 38930-3820 | 2019-02-12 |
| 1902385123 | Cassandra Leigh Cole | Nurse Practitioner | 701 E County Line Rd Ste 204, Greenwood, IN 46143-1071 | 2018-08-08 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| Find all providers in GREENWOOD | ||||
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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.