MRS. RUBY JAMISON (NPI# 1770960197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770960197 |
| Entity Type | Individual |
| Full Name | MRS. RUBY JAMISON |
| Credential | FNP-C |
| Practice Address |
105 Harris Ave Red Oak TX 75154-4216 |
| Mailing Address |
1216 Cheyenne Dr Desoto TX 75115-7778 |
| Practice Telephone | 9726170034 |
| Mailing Telephone | 4693605645 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP127907 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
105 HARRIS AVE |
| City | RED OAK |
| State | TX |
| Zip Code | 75154-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619071412 | Cvs Pharmacy Inc | Pharmacy | 105 Harris Ave, Red Oak, TX 75154-4216 | 2006-09-12 |
| 1225640733 | Ali Hyder Syed | Pharmacist | 105 Harris Ave, Red Oak, TX 75154-4216 | 2020-08-18 |
| 1780295394 | Matthew Tran | Pharmacist | 105 Harris Ave, Red Oak, TX 75154-4216 | 2020-08-17 |
| 1629689385 | Dennis Weiting Chen | Pharmacist | 105 Harris Ave, Red Oak, TX 75154-4216 | 2020-08-14 |
| 1407380363 | Bene Aneke | Nurse Practitioner | 105 Harris Ave, Red Oak, TX 75154-4216 | 2017-04-18 |
| 1598219222 | Barack Austine Otieno | Nurse Practitioner | 105 Harris Ave, Red Oak, TX 75154-4216 | 2016-08-10 |
| 1831521426 | Courtney D Johnson | Nurse Practitioner | 105 Harris Ave, Red Oak, TX 75154-4216 | 2013-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396204814 | Red Oak Smile Center Pllc | Dentist | 300 N Saraf Rd, Ste 108, Red Oak, TX 75154 | 2019-03-14 |
| 1316429392 | Zoe Frances Clement | Specialist/Technologist | 128 Hollie Dr, Red Oak, TX 75154 | 2018-09-05 |
| 1447758685 | Into Loving Hearts & Hands Home Care LLC | Technician | 735 Ashln, Red Oak, TX 75154 | 2018-01-23 |
| 1114442522 | Vista Specialty, LLC | Pharmacy | 600 Methodist St., Suite 1120, Red Oak, TX 75154 | 2017-08-07 |
| 1063945848 | Austin Blvd. Family Dentistry, P.C. | Dentist | 101 Austin Blvd., Ste 100, Red Oak, TX 75154 | 2017-04-07 |
| 1609317148 | Anthony L Strauder | Nurse Anesthetist, Certified Registered | 111 Schley Rd, Red Oak, TX 75154 | 2017-03-16 |
| 1356881668 | Elledge Counseling Associates | Counselor | 328 Pebblebrook, Glenn Heights, TX 75154 | 2017-03-06 |
| 1952840787 | Nathanael Barnes | Nurse Anesthetist, Certified Registered | 100 Country Ridge Ct, Red Oak, TX 75154 | 2017-02-13 |
| 1366802589 | Quicktime Fitness | Chiropractor | 2506 Ovilla Road, Suite B, Red Oak, TX 75154 | 2016-03-01 |
| 1366751919 | Chester Copeland Jr. | Technician/Technologist | 204 London Lane, Glenn Heights, TX 75154 | 2010-09-30 |
| Find all providers in zip 75154 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316575038 | Kelsey Martin | Nurse Practitioner | 273 E Ovilla Rd Ste 4, Red Oak, TX 75154-2605 | 2020-03-29 |
| 1295370138 | Erica Elguea Diaz | Nurse Practitioner | 106 Plaza Dr, Red Oak, TX 75154-3981 | 2019-11-14 |
| 1750949111 | Dale Eugene Stogdill Jr. | Nurse Practitioner | 2301 Eastern Ave, Red Oak, IA 51566-1300 | 2019-05-31 |
| 1700356334 | Brianna Jean Schaffer | Nurse Practitioner | 2301 Eastern Ave, Red Oak, IA 51566 | 2018-11-27 |
| 1346715638 | Charles Adison Chittamai | Nurse Practitioner | 301 E Ovilla Rd, Red Oak, TX 75154-3818 | 2018-10-12 |
| 1992280812 | Guadalupe Margarita Rios | Nurse Practitioner | 301 E Ovilla Rd Ste 100, Red Oak, TX 75154-3830 | 2018-09-26 |
| 1407380363 | Bene Aneke | Nurse Practitioner | 105 Harris Ave, Red Oak, TX 75154-4216 | 2017-04-18 |
| 1598219222 | Barack Austine Otieno | Nurse Practitioner | 105 Harris Ave, Red Oak, TX 75154-4216 | 2016-08-10 |
| 1902234529 | Saundra Leigh Marion | Nurse Practitioner | 2301 Eastern Ave, Red Oak, IA 51566-1300 | 2013-10-16 |
| 1407282577 | Emily Alane Mcgarrah | Nurse Practitioner | 301 E Ovilla Rd, Suite 100, Red Oak, TX 75154-3833 | 2013-09-20 |
| Find all providers in RED OAK | ||||
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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.