DEBRA C JACK (NPI# 1730211129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730211129 |
| Entity Type | Individual |
| Full Name | DEBRA C JACK |
| Credential | RN |
| Practice Address |
832 W Central Blvd Orlando FL 32805-1809 |
| Practice Telephone | 4077600195 |
| Practice Fax Number | 4074824486 |
| Mailing Telephone | 4077600195 |
| Mailing Fax Number | 4074824486 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN3224602 | FL | Nursing Service Providers |
| Street Address |
832 W CENTRAL BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32805-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578537742 | Lynne Adair Hopkins | Internal Medicine | 832 W Central Blvd, Orlando, FL 32805-1809 | 2006-02-15 |
| 1831692763 | Crystal Marie Davis | Dental Hygienist | 832 W Central Blvd, Orlando, FL 32805-1809 | 2018-03-16 |
| 1356874564 | Melisent Diana | Case Manager/Care Coordinator | 832 W Central Blvd, Orlando, FL 32805-1809 | 2017-04-05 |
| 1235672411 | Fara Bacchus | Clinical Nurse Specialist | 832 W Central Blvd, Orlando, FL 32805-1809 | 2016-11-21 |
| 1376916056 | Argentina Clarke | Community Health Worker | 832 W Central Blvd, Orlando, FL 32805-1809 | 2015-11-04 |
| 1366812513 | Deanne Kristen Shely | Nurse Practitioner | 832 W Central Blvd, Orlando, FL 32805-1809 | 2015-09-30 |
| 1174906689 | Elba Fontanes I | Dietitian, Registered | 832 W Central Blvd, Orlando, FL 32805-1809 | 2015-07-01 |
| 1669852307 | Meredith Ewen | Dietitian, Registered | 832 W Central Blvd, Orlando, FL 32805-1809 | 2015-06-08 |
| 1518357839 | Ana Ruadobles | Nurse Practitioner | 832 W Central Blvd, Orlando, FL 32805-1809 | 2015-01-26 |
| 1144535410 | Angel Aiken-beckett | Registered Nurse | 832 W Central Blvd, Orlando, FL 32805-1809 | 2010-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797677 | Gerardo Carlos Dorado | Rehabilitation Hospital | 830 29th Street, Orlando, FL 32805 | 2019-12-18 |
| 1639731557 | Relyancecorp | Non-emergency Medical Transport (VAN) | 15 N Tanpa Ave, Orlando, FL 32805 | 2019-07-01 |
| 1518477231 | Evolution Insight Incorporated | Community/Behavioral Health | 1521 W Washington St, Orlando, FL 32805 | 2017-10-08 |
| 1366983140 | Medical Allied Nursing Academy, Inc. | Custodial Care Facility | 750 Plaza Orange Blossom Trail, Suite 264, Orlando, FL 32805 | 2017-03-14 |
| 1407238033 | Vickie Marie Ferguson | Social Worker | 3700 34th St Ste 100f, Orlando, FL 32805 | 2015-06-19 |
| 1508248287 | Compassionate Care Community Health Services LLC | In Home Supportive Care | 927 S. Goldwyn Ave, Suite 230, Orlando, FL 32805 | 2015-06-18 |
| 1750772612 | Rx Florida Pharmacy,llc | Pharmacist | 3615 Columbia St, Orlando, FL 32805 | 2015-02-13 |
| 1588053946 | Speech Steps | Speech-Language Pathologist | 2607 Windward Ct., Orlando, FL 32805 | 2015-01-22 |
| 1831597426 | Vonda White | Counselor | 1602 Crooms Ave., Orlando, FL 32805 | 2014-12-12 |
| 1558788653 | Laura F Lucas | Case Management | 750 S. Obt Suite 111, Orlando, FL 32805 | 2014-03-26 |
| Find all providers in zip 32805 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326545732 | Adrienna D Neal | Registered Nurse | 909 Bordeaux Pl, Orlando, FL 32808-7734 | 2018-04-11 |
| 1003113994 | Juana Torres | Registered Nurse | 4101 Equity Row, 210, Orlando, FL 32819-9014 | 2011-02-11 |
| 1174703045 | Patricia E Johnson | Registered Nurse | 1836 Rushwood Ct, Orlando, FL 32818-5844 | 2007-11-08 |
| 1851589931 | Dora Bell Wade-williams | Registered Nurse | 71 Dobson St, Orlando, FL 32805-1913 | 2007-10-14 |
| 1962607077 | Silvia V Martinez | Registered Nurse | 832 W Central Blvd, Orlando, FL 32805-1809 | 2007-06-19 |
| 1629100557 | Eleanor A Towns | Registered Nurse | 832 W Central Blvd, Orlando, FL 32805-1809 | 2007-03-09 |
| 1326179235 | Josett V Samuels | Registered Nurse | 832 W Central Blvd, Orlando, FL 32805-1809 | 2007-03-09 |
| 1679604516 | Blanca E Perez | Registered Nurse | 832 W Central Blvd, Orlando, FL 32805-1809 | 2007-03-09 |
| 1326179276 | Madriana E Haughton | Registered Nurse | 832 W Central Blvd, Orlando, FL 32805-1809 | 2007-03-09 |
| 1164554010 | Linda J Neumann-petersen | Registered Nurse | 832 W Central Blvd, Orlando, FL 32805-1809 | 2007-03-09 |
| Find all providers in ORLANDO | ||||
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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.