Gloria Lynn Niquette (NPI# 1366874174, PAC ID# 9436376035) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1366874174 |
| PAC ID by PECOS | 9436376035 |
| Professional Enrollment ID | I20140805001726 |
| Full Name | Gloria Lynn Niquette |
| Organization Legal Name | STARKE FAMILY MEDICAL CENTER INC |
| Address |
345 W Madison St Starke FL 32091-3923 |
| Phone Number | 9049645455 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0143207704 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 101303 | LAKE BUTLER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 S Lawrence Blvd, Keystone Heights, FL 32656-9215 | 3524739373 | STARKE FAMILY MEDICAL CENTER INC |
| 850 E Main St, Lake Butler Hospital, Lake Butler, FL 32054-1353 | 3864962323 | MEDLINK MANAGEMENT SERVICES INC |
| 345 W Madison St, Starke, FL 32091-3923 | 9049645455 | STARKE FAMILY MEDICAL CENTER INC |
| Organization Legal Name | STARKE FAMILY MEDICAL CENTER INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Wolfe | Nurse Practitioner | Starke Family Medical Center Inc | 175 N Lawrence Blvd, Keystone Heights, FL 32656-9351 |
| Jessie Ellis Jamison | Nurse Practitioner | Starke Family Medical Center Inc | 345 W Madison St, Starke, FL 32091-3923 |
| Jessica M Miller | Family Medicine | Starke Family Medical Center Inc | 275 W Main St, Lake Butler, FL 32054-1641 |
| Charles J Franson Jr. | Family Medicine | Starke Family Medical Center Inc | 345 W Madison St, Starke, FL 32091-3923 |
| Sandra J Northway | Nurse Practitioner | Starke Family Medical Center Inc | 175 N Lawrence Blvd, Keystone Heights, FL 32656-9351 |
| Brenda K Corbin | Nurse Practitioner | Starke Family Medical Center Inc | 345 W Madison St, Starke, FL 32091-3923 |
| Mary T Konkel | Nurse Practitioner | Starke Family Medical Center Inc | 345 W Madison St, Starke, FL 32091-3923 |
| Kimberly Beers Castillo | Nurse Practitioner | Starke Family Medical Center Inc | 345 W Madison St, Starke, FL 32091-3923 |
| Street Address |
345 W MADISON ST |
| City | STARKE |
| State | FL |
| Zip | 32091-3923 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessie Ellis Jamison | Nurse Practitioner | Starke Family Medical Center Inc | 345 W Madison St, Starke, FL 32091-3923 |
| Charles J Franson Jr. | Family Medicine | Starke Family Medical Center Inc | 345 W Madison St, Starke, FL 32091-3923 |
| Brenda K Corbin | Nurse Practitioner | Starke Family Medical Center Inc | 345 W Madison St, Starke, FL 32091-3923 |
| Mary T Konkel | Nurse Practitioner | Starke Family Medical Center Inc | 345 W Madison St, Starke, FL 32091-3923 |
| Kimberly Beers Castillo | Nurse Practitioner | Starke Family Medical Center Inc | 345 W Madison St, Starke, FL 32091-3923 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith E Lynch | Physician Assistant | Trenton Medical Center, Inc | 550 W Georgia St, Starke, FL 32091-1816 |
| Tiffany N Rogers | Nurse Practitioner | Trenton Medical Center, Inc | 550 W Georgia St, Starke, FL 32091-1816 |
| Andrew Owen | Physician Assistant | Trenton Medical Center, Inc | 550 W Georgia St, Starke, FL 32091-1816 |
| Lynne M Webster | Nurse Practitioner | Florida Department of Health | 1801 N Temple Ave, Starke, FL 32091-1960 |
| Deron Ck Ottey | Orthopedic Surgery | 417 W Call St, Starke, FL 32091-3115 | |
| Virgil A Berry Jr. | Chiropractic | 601 E Call St, Starke, FL 32091-3405 | |
| Andrea E Waterhouse | Nurse Practitioner | Bradford Emergency Group LLC | 922 E Call St, Starke, FL 32091-3616 |
| Samer O Salhab | Diagnostic Radiology | Fands Radiology PC | 922 E Call St, Starke, FL 32091-3616 |
| Olutayo T Olabige | Nephrology | 922 E Call St, Starke, FL 32091-3616 | |
| James M Switzer | Diagnostic Radiology | Fands Radiology PC | 922 E Call St, Starke, FL 32091-3616 |
| Find all physicians in zip 32091 | |||
| City | STARKE |
| Zip Code | 32091 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | STARKE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.