JACQUELINE A GILLERN (NPI# 1063982759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063982759 |
| Entity Type | Individual |
| Full Name | JACQUELINE A GILLERN |
| Credential | CRNP-APMH |
| Practice Address |
11 Farview Rd Waymart PA 18472-7700 |
| Mailing Address |
208 White Oak Dr Olyphant PA 18447-2251 |
| Practice Telephone | 5704885811 |
| Mailing Telephone | 5703823557 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP019487 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11 FARVIEW RD |
| City | WAYMART |
| State | PA |
| Zip Code | 18472-7700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033624770 | Gerald Jacob Kasper | Dentist | 11 Farview Rd, Waymart, PA 18472-7700 | 2017-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393237 | Jennifer Villano | Physician Assistant | C/o Sci Waymart, Waymart, PA 18472 | 2020-10-16 |
| 1770108227 | Rhea Marie Carey | Physician Assistant | 3057 Eric J Williams Memorial Drive, Waymart, PA 18472 | 2020-06-10 |
| 1083129886 | Gods Mountain Recovery Center | Rehabilitation Counselor | 94 Adams Dr, Waymart, PA 18472 | 2017-12-04 |
| 1104286095 | Joseph Cheslick | Nurse Practitioner | 100 Route 6, Waymart, PA 18472 | 2016-03-04 |
| 1093102568 | Connie Lee Thomas | Speech-Language Pathologist | 37 Woodlands Drive, Waymart, PA 18472 | 2015-04-22 |
| 1194932483 | Janet B Eisele | Nurse Practitioner | 27b Woodlands Drive, Waymart, PA 18472 | 2007-05-17 |
| 1245456961 | Waymart Volunteer Ambulance Corps Inc | Ambulance | 28 Railroad Ln, Waymart, PA 18472 | 2007-04-18 |
| 1477658235 | Marci Ann Kowalewski | Physician Assistant | 263 Carbondale Rd, Box Z, Waymart, PA 18472 | 2006-09-14 |
| 1720191703 | Cathy Marie Salak | Dentist | 615 Roosevelt Hwy, Waymart, PA 18472 | 2006-08-16 |
| 1790798882 | Wawrzyniec Lawrence Stepczak | Internal Medicine | 29 Woodlands Drive, Waymart, PA 18472 | 2006-08-13 |
| Find all providers in zip 18472 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104286095 | Joseph Cheslick | Nurse Practitioner | 100 Route 6, Waymart, PA 18472 | 2016-03-04 |
| 1306327812 | Bonnie Marie Woodruff | Nurse Practitioner | 100 Route 6, Sci Waymart, Waymart, PA 18472 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152544 | Jeanne Denise Howell | Nurse Practitioner | 6019 Saddlehorn Dr, Erie, PA 16506-4721 | 2020-10-20 |
| 1770199341 | Nicole Kassandra Carissimi | Nurse Practitioner | 1618 S 19th St, Philadelphia, PA 19145-1439 | 2020-09-19 |
| 1548875875 | Marisa Savic | Nurse Practitioner | 1 Medical Center Blvd Ste 407, Chester, PA 19013-3902 | 2020-09-14 |
| 1972117976 | Matthew Hunter | Nurse Practitioner | 728 Westerly Pkwy, State College, PA 16801-4226 | 2020-09-07 |
| 1801400817 | Monarch Psychiatric Services, P.C. | Nurse Practitioner | 103 N Gilpin St Ste 306, Punxsutawney, PA 15767-2055 | 2020-09-07 |
| 1154934412 | Ashley Scott Foster | Nurse Practitioner | 1701 Timberidge Dr, Bethel Park, PA 15102-4043 | 2020-08-26 |
| 1699385146 | Renee Lucci | Nurse Practitioner | 15 Douglas St, Ambler, PA 19002-4941 | 2020-08-08 |
| 1184233660 | Care Therapy | Nurse Practitioner | 610 Pittsburgh St, Scottdale, PA 15683-1651 | 2020-07-30 |
| 1184233926 | Jessica L Parente | Nurse Practitioner | 4067 Howley St, Pittsburgh, PA 15224-1439 | 2020-07-28 |
| 1770192775 | Lisa Ghiloni | Nurse Practitioner | 6809 N 10th St, Philadelphia, PA 19126-2906 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
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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.