JACKIE LYNN MCDONALD (NPI# 1033556170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033556170 |
Entity Type | Individual |
Full Name | JACKIE LYNN MCDONALD |
Credential | RN, COHN-S, CAOHC |
Practice Address |
11937 Hwy 271 Tyler TX 75708-3154 |
Practice Telephone | 9038775553 |
Mailing Telephone | 9038775553 |
Enumeration Date | 2013-05-30 |
Last Update Date | 2013-05-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 660165 | TX | Nursing Service Providers |
Y | 163WX0106X |
Registered Nurse Specialization: Occupational Health |
660165 | TX | Nursing Service Providers |
N | 246Z00000X | Specialist/Technologist, Other | 40275 | Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
COHN-S | 8922 | 01 | |
TX | RN | 660165 | 01 |
CAOHC | 40275 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831473552 | Jackie Clanton Mcdonald | Nurse Practitioner | 971 Lakeland Dr, Suite 750, Jackson, MS 39216-4643 | 2011-09-29 |
Street Address |
11937 HWY 271 |
City | TYLER |
State | TX |
Zip Code | 75708-3154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396717294 | Lisa K Skariah | Pharmacist | 11937 Hwy 271, Tyler, TX 75708-3154 | 2006-02-03 |
1891287868 | Lisa Milstead | Physical Therapist | 11937 Hwy 271, Tyler, TX 75708-3154 | 2018-06-05 |
1619148392 | Nasir Hussain | Internal Medicine | 11937 Hwy 271, Tyler, TX 75708-3154 | 2008-03-20 |
1285803932 | University of Texas Health Center At Tyler | Counselor | 11937 Hwy 271, Tyler, TX 75708-3154 | 2008-02-27 |
1568651446 | Janet B Seliga | Nurse Practitioner | 11937 Hwy 271, Tyler, TX 75708-3154 | 2007-10-17 |
1447446653 | James R Menard | Family Medicine | 11937 Hwy 271, Tyler, TX 75708-3154 | 2007-09-20 |
1770778565 | Russell W Hayes | Physician Assistant | 11937 Hwy 271, Tyler, TX 75708-3154 | 2007-09-13 |
1962697755 | Kenna J Stephenson | Family Medicine | 11937 Hwy 271, Tyler, TX 75708-3154 | 2007-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427615699 | Aiat Radwan | Student in an Organized Health Care Education/Training Program | 11937 U Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-23 |
1174170781 | Sanmitha Sundaram Kota | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-08-20 |
1932761640 | Michael Watkins | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-07-02 |
1760042881 | Fahad Noman | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-20 |
1538729652 | Elizabeth Garza | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-20 |
1235799081 | Haven Price | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-14 |
1437719283 | Christopher Schrupp | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-14 |
1952960437 | Parashar Trivedi | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-10 |
1659937506 | Sandhya Devaraj | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-16 |
1164088167 | Anand Jayanti | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-15 |
Find all providers in zip 75708 |
Taxonomy Code | 163WX0106X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Occupational Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205487220 | Joe Hinojosa | Registered Nurse | 3225 Chippewa Trl, Lake Worth, TX 76135-3809 | 2019-09-20 |
1083129795 | Launi Walker | Registered Nurse | 8308 Sandy Ct, North Richland Hills, TX 76182-8479 | 2017-12-05 |
1073028700 | Saidatu Komolafe | Registered Nurse | 1415 Moore Ter, Arlington, TX 76010-7902 | 2017-12-04 |
1083129852 | Azizath Quadri | Registered Nurse | 11422 Volterra Way Apt 13102, Fort Worth, TX 76244-1456 | 2017-12-03 |
1104330901 | Tara Sulser | Registered Nurse | 508 Thornton Ct, College Station, TX 77840-5078 | 2017-12-01 |
1568909026 | Eureco Consultants LLC | Registered Nurse | 5757 Woodway Dr Ste 215, Houston, TX 77057-1533 | 2017-01-23 |
1003266602 | Michael Brand | Registered Nurse | 722 W Craig Pl, San Antonio, TX 78212-3369 | 2016-06-15 |
1588069736 | Karen E Johnson | Registered Nurse | 13303 Lake Timber Ct, Cypress, TX 77429-7689 | 2014-10-30 |
1578994059 | Cindy Sutton | Registered Nurse | 3407 Crystal Creek Ct, Sugar Land, TX 77478-4039 | 2013-12-09 |
1841570694 | Gabrielle Dorais | Registered Nurse | 3524 Serendipity Hills Trl, Corinth, TX 76210-3601 | 2011-08-25 |
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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.