MRS. JACQUELINE A FRAISER (NPI# 1629199633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629199633 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE A FRAISER |
| Credential | CRNP |
| Practice Address |
2668 S Harper Rd Suite 1 Corinth MS 38834-6770 |
| Mailing Address |
2601 Getwell Rd Ste 1 Corinth MS 38834-6762 |
| Practice Telephone | 6622877138 |
| Practice Fax Number | 6622877157 |
| Mailing Telephone | 6622877138 |
| Mailing Fax Number | 6622877157 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2018-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R851578 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02488503 | 05 |
| Street Address |
2668 S HARPER RD SUITE 1 |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-6770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295749349 | Patrick Edwin Tucker | General Practice | 2668 S Harper Rd, Corinth, MS 38834-6770 | 2006-07-27 |
| 1699042754 | Melissa Bearden Morgan | Nurse Practitioner | 2668 S Harper Rd, Suite 1, Corinth, MS 38834-6770 | 2011-11-17 |
| 1295035962 | Christina Stricklen Williams | Nurse Practitioner | 2668 S Harper Rd, Suite 1, Corinth, MS 38834-6770 | 2010-10-28 |
| 1760575690 | John Randall Beaty | Chiropractor | 2668 S Harper Rd, Suite 1a, Corinth, MS 38834-6770 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1003467200 | Stephanie R Rynor I | Nurse Practitioner | 3001 Fm 2181 Ste 300, Corinth, TX 76210 | 2019-09-28 |
| 1356712525 | Mary Elizabeth Pounders | Nurse Practitioner | 136 County Road 408, Corinth, MS 38834-7705 | 2015-10-14 |
| 1548683790 | Ashley M Talley | Nurse Practitioner | 1415 S. Harper Road, Corinth, MS 38834 | 2014-01-23 |
| 1518136217 | Sherry D. Callahan | Nurse Practitioner | 383b Highway 2 Ne, Corinth, MS 38834-6926 | 2008-02-27 |
| 1750506473 | Catherine N Zemler | Nurse Practitioner | 2705 Meadowview Dr, Corinth, TX 76210-6465 | 2007-04-16 |
| 1285700443 | Deborah B Moore | Nurse Practitioner | 2006 Robertson St, Corinth, MS 38834-3720 | 2006-11-28 |
| 1669552642 | Sherry D. Callahan | Nurse Practitioner | 508 Alcorn Dr, Corinth, MS 38834-9392 | 2006-10-16 |
| 1629186382 | Carmen Parks | Nurse Practitioner | 207 Alcorn Dr, Corinth, MS 38834-8400 | 2006-08-25 |
| 1609858109 | Betty G Hayhurst | Nurse Practitioner | 820 Highway 2, Corinth, MS 38834-7954 | 2005-11-18 |
| Find all providers in CORINTH | ||||
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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.