MRS. JENNIFER MARIE PERUCCIO (NPI# 1053822411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053822411 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER MARIE PERUCCIO |
| Credential | BSN, RN |
| Practice Address |
Bg Sams Army Health Clinic, Usameddac-japan Bldg 704 Unit 45011 Apo AP 96343 |
| Mailing Address |
Psc 704 Box 3696 Apo AP 96338-0017 |
| Practice Telephone | 3152633803 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0001252717 | VA | Nursing Service Providers |
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
0001252717 | VA | Nursing Service Providers |
| Street Address |
BG SAMS ARMY HEALTH CLINIC, USAMEDDAC-JAPAN BLDG 704 UNIT 45011 |
| City | APO |
| State | AP |
| Zip Code | 96343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548249923 | Gordon J Lyons | Social Worker | Edis Zama/atsugi, Sagamihara Dha, Apo, AP 96343 | 2006-01-12 |
| 1174084875 | Jennifer Nicole Buffard | Registered Nurse | Unit 45011, Apo, AP 96343 | 2019-03-26 |
| 1205288347 | Qwameshia Plummer | Dental Assistant | Usa Dental Activtiy Japan, Unit 45011, Bldg 704, Apo, AP 96343-5011 | 2016-07-12 |
| 1326495581 | Trina Primm | Registered Nurse | Meddac Japan, Unit 45011, Apo, AP 96343-5011 | 2016-05-18 |
| 1316355977 | Tonya Marie Heredia | Registered Nurse | Mcja-nur Unit 45011, Apo, AP 96343-5011 | 2014-07-28 |
| 1174942775 | Jason Miller | Registered Nurse | Usameddac-japan, Bg Sams Army Health Clinic, Unit 45011, Apo, AP 96343-5011 | 2014-04-10 |
| 1760813950 | Robert Eugene Fraser | Registered Nurse | Us Army Medical Department Activity-japan, Unit 45011, Apo, AP 96343-5011 | 2013-12-12 |
| 1912337585 | Kimberly Futrell | Registered Nurse | Dept of The Army, Bg Sams, Usameddac-japan, Mcja-nur Unit 45011, Apo, AP 96343-5011 | 2013-11-19 |
| 1336589993 | Usameddac-japan | Clinic/Center | Bg Sams Ahc, Usameddac-japan, Mcja-pm, Unit 45011, Apo, AP 96343-5011 | 2013-06-27 |
| 1760742738 | Michael Eugene Wylie | Emergency Medical Technician, Basic | Headquarters, Us Army Medical Department Activity-japan, Bg Crawford F. Sams, Us Army Health Clinic, Unit 45011, Apo, AP 96343-5011 | 2012-05-23 |
| Find all providers in zip 96343 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851841977 | Kevin Turnage | Registered Nurse | Unit 15190 Box 8, Apo, AP 96271-5190 | 2016-10-13 |
| 1174942775 | Jason Miller | Registered Nurse | Usameddac-japan, Bg Sams Army Health Clinic, Unit 45011, Apo, AP 96343-5011 | 2014-04-10 |
| 1720428188 | Tina Latisha Hill | Registered Nurse | Unit 27528, Usahc- Bamberg Unit 27528 Cmr 459, Apo, AE 09139-7528 | 2013-07-01 |
| 1952637621 | Felisa Kay Batson | Registered Nurse | Brian Allgood Army Community Hsp, Preventive Medicine Attn: Cpt Batson, Apo, AP 96205 | 2009-10-30 |
| 1407099963 | Michelle Florence Ambersley | Registered Nurse | 75th Medical Company Area Support, Unit#15190 Box#13, Apo, AP 96271-5228 | 2009-04-14 |
| 1285802462 | Vernell Jordan | Registered Nurse | Cmr 457 Box 493, Apo, AE 09033 | 2008-02-11 |
| 1306977517 | Tina Maria Streker | Registered Nurse | Cmr 459, Box 6805, Apo, AE 09139 | 2007-03-08 |
| 1518092675 | Katherine Hotz | Registered Nurse | Usahc Illesheim, Cmr 416 Box C, Apo, AE 09140 | 2007-02-22 |
| 1851434385 | Kathi Joh Hill | Registered Nurse | Cmr 452, Box 308, Apo, AE 09045 | 2007-02-15 |
| 1104969070 | Bonnie Jean Jeanice | Registered Nurse | Cmr 442 Box 839, Apo, AE 09042 | 2007-02-14 |
| Find all providers in APO | ||||
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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.