JENNIFER A LUNCEFORD (NPI# 1891724282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891724282 |
| Entity Type | Individual |
| Full Name | JENNIFER A LUNCEFORD |
| Credential | PA |
| Practice Address |
2026 S Jackson St Jacksonville TX 75766-5822 |
| Mailing Address |
Po Box 841656 Dallas TX 75284-1656 |
| Practice Telephone | 9035865678 |
| Practice Fax Number | 9035414679 |
| Mailing Telephone | 9035315000 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2015-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA02328 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TRICARE | 75-1976930-005 | 01 |
| TX | BCBS | 8192NP | 01 |
| TX | 187881104 | 05 | |
| TX | AETNA | 7057548 | 01 |
| TX | RAIL ROAD | P01492565 | 01 |
| TX | BCBS | 8821NF | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689919243 | Jennifer Marie Lunceford | Doula | 7412 Se Knight St, Portland, OR 97206-5824 | 2012-12-07 |
| 1558428417 | Jennifer E Lunceford | Occupational Therapist | 5567 N Croatan Highway, Kitty Hawk, NC 27949 | 2007-01-02 |
| Street Address |
2026 S JACKSON ST |
| City | JACKSONVILLE |
| State | TX |
| Zip Code | 75766-5822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306672 | Mother Frances Hospital - Jacksonville | Nurse Anesthetist, Certified Registered | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2005-06-17 |
| 1497362198 | Stephanie Davis | Registered Nurse | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2020-09-26 |
| 1730643032 | Timothy B Different | Nurse Anesthetist, Certified Registered | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2019-01-31 |
| 1356856652 | Michele Lee Bentoski | Nurse Practitioner | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2017-12-08 |
| 1124562012 | Pamela D Mackay | Nurse Practitioner | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2016-12-12 |
| 1740673557 | Natalie Marie Morgan | Nurse Practitioner | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2015-03-18 |
| 1376956466 | Alison Collins | Family Medicine | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2014-06-05 |
| 1457771818 | Rita Alumanah | Family Medicine | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2014-04-23 |
| 1427496025 | Lilika Anique White | Family Medicine | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2013-06-05 |
| 1285920405 | Nirmala Nandini Cheatham | Family Medicine | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2011-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770062788 | David Rentz | Occupational Therapy Assistant | 838 Brown St., Jacksonville, TX 75766 | 2018-08-09 |
| 1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
| 1467896241 | Christopher Mark Sirianni | Anesthesiology | 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 | 2013-04-23 |
| 1164703047 | Aegis Psychological Consulting LLC | Psychologist | 208 E. Rusk St., Jacksonville, TX 75766 | 2011-09-06 |
| 1952697872 | Melissa Springmeyer | Family Medicine | 2026 South Jacksonville Street, Jacksonville, TX 75766 | 2011-06-20 |
| 1306031018 | Michael Kay Moore | Occupational Therapist | 4155 Cr 3908, Jacksonville, TX 75766 | 2007-09-06 |
| 1730398827 | Cherokee County Health Department | Public Health or Welfare | 510 East Commerce, Jacksonville, TX 75766 | 2007-05-22 |
| 1568689545 | Mary Alice Bone | Preventive Medicine | 510 E. Commerce, Jacksonville, TX 75766 | 2007-04-19 |
| 1619093176 | Assisted Living Concepts Inc | Assisted Living Facility | 211 Phillip Street, Jacksonville, TX 75766 | 2007-03-22 |
| 1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| Find all providers in zip 75766 | ||||
| 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 |
|---|---|---|---|---|
| 1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
| 1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
| 1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
| 1760099071 | Laura Alexandra Ramos-heckman | Physician Assistant | 2014 Capistrano Dr, Jacksonville, FL 32224-3091 | 2020-09-30 |
| 1184230583 | Julian Clouse | Physician Assistant | 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 | 2020-09-21 |
| 1962016717 | Stephanie Benton Gentry | Physician Assistant | 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 | 2020-08-31 |
| 1629689435 | Monarch Mental Health Association | Physician Assistant | 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 | 2020-08-14 |
| 1235749425 | Nicole Lhommedieu | Physician Assistant | 3850 Marnie Pl, Jacksonville, FL 32223-3541 | 2020-08-03 |
| 1861002123 | Naw-am Acio Daniels | Physician Assistant | 7467 Volley Dr N, Jacksonville, FL 32277-9368 | 2020-08-03 |
| 1750906640 | Veronica Adriana Dediego | Physician Assistant | 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 | 2020-06-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 75766 |
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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.