JESSICA PUSKARICH


Address: 1718 E 4th St, Suite 307, Charlotte, NC 28204-3261
Phone: 7043331259

JESSICA PUSKARICH (NPI# 1063963866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063963866
Entity Type Individual
Full Name JESSICA PUSKARICH
Credential NP
Practice Address 1718 E 4th St
Suite 307
Charlotte
NC 28204-3261
Practice Telephone 7043331259
Practice Fax Number 7043330371
Mailing Telephone 7043331259
Mailing Fax Number 7043330371
Enumeration Date 2016-10-18
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
5009032 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1718 E 4TH ST
SUITE 307
City CHARLOTTE
State NC
Zip Code 28204-3261

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841298239 Kevin Hsu Internal Medicine 1718 E 4th St, Ste 501, Charlotte, NC 28204-3260 2005-07-11
1205373081 Miranda L Williams Physician Assistant 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 2017-01-31
1881138873 Shannon Scandone Nurse Practitioner 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 2016-12-09
1801343793 Novant Medical Group, Inc Pediatrics 1718 E 4th St, Suite 601, Charlotte, NC 28204-3261 2016-09-08
1497107536 Kelly J Coleman Nurse Practitioner 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 2016-07-12
1447616602 Lindsay Spears Taylor Physician Assistant 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 2016-01-04
1982089322 Melanie Moshier Genetic Counselor, MS 1718 E 4th St, Suite 608, Charlotte, NC 28204-3261 2015-07-28
1962886218 Novant Medical Group, Inc Pediatrics 1718 E 4th St, Suite 401, Charlotte, NC 28204-3261 2015-07-16
1780071373 Shannon Deluca Nurse Practitioner 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 2015-04-21
1619398070 Novant Medical Group Inc. Internal Medicine 1718 E 4th St, Suite 401, Charlotte, NC 28204-3261 2014-01-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285263582 Precise Home Care Service LLC In Home Supportive Care 1935 Baxter Street, Unit 101, Charlotte, NC 28204 2020-04-07
1285276253 Shannon Miller Counselor 1432 E Seventh Street, Charlotte, NC 28204 2019-10-11
1194282202 Madison Joann Mcgarrigle Behavior Technician 1401 East 7th Street, Charlotte, NC 28204 2019-02-25
1255802674 Stacey D. Alston, Dds, Pa Dentist 1020 E. 10th St., Suite 1, Charlotte, NC 28204 2018-12-11
1972082097 Kim Webb Talbert Nurse Practitioner Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 2018-08-09
1164910535 Jesse Elijah Roberts Counselor 1801 E 5th Street, #208, Charlotte, NC 28204 2018-05-01
1336696848 Eight Healthcare Exclusive Provider Organization 2455 Weddington Ave, 2110, Charlotte, NC 28204 2016-09-01
1225480551 Kathleen Quintana Bradley Physician Assistant 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 2016-07-11
1184049777 Della Franklin Speech-Language Pathologist 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 2014-02-19
1225459845 Healing Arts Medical, Pa Family Medicine 335 N. Caswell Rd., Charlotte, NC 28204 2013-12-27
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316544927 Christine Marie Davis Nurse Practitioner 1010 Kenilworth Ave Apt 426, Charlotte, NC 28204-3475 2020-10-06
1508484031 Stacey C Bohm Nurse Practitioner 15720 Brixham Hill Ave Ste 130, Charlotte, NC 28277-4784 2020-07-10
1841891033 Amber Maurer Ettell Nurse Practitioner 125 Queens Rd Ste 420, Charlotte, NC 28204-3215 2020-11-04
1962015420 Randall Lee Coffman Nurse Practitioner 200 Hawthorne Ln, Charlotte, NC 28204-2515 2020-08-25
1699388116 Cassandra L. Barnes Nurse Practitioner 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-25
1407469927 Lesley Rummage Nurse Practitioner 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-08-25
1437771557 Danielle Margaret Altieri Nurse Practitioner 1010 Edgehill Rd N, Charlotte, NC 28207-1885 2020-05-12
1689207185 Advanced Comprehensive Care Pllc Nurse Practitioner 11301 Golf Links Dr N, Charlotte, NC 28277-8013 2020-02-13
1205476843 Douglas Lowe Nurse Practitioner 200 Hawthorne Ln, Charlotte, NC 28204-2515 2020-01-12
1174931034 Brandlyn Noftsger Nurse Practitioner 3030 Randolph Rd, Charlotte, NC 28211-1368 2014-07-23
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Competitor

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City CHARLOTTE
Zip Code 28204

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Dataset Information

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.

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