JACQUELINE J B GREACEN (NPI# 1083262786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083262786 |
Entity Type | Individual |
Full Name | JACQUELINE J B GREACEN |
Credential | FNP |
Practice Address |
6227 Thompson Rd Syracuse NY 13206-1405 |
Mailing Address |
Po Box 500 Ellicottville NY 14731-0500 |
Practice Telephone | 3159372007 |
Practice Fax Number | 3159372008 |
Mailing Telephone | 7166999032 |
Mailing Fax Number | 7166999035 |
Enumeration Date | 2019-08-27 |
Last Update Date | 2019-08-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F344664 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6227 THOMPSON RD |
City | SYRACUSE |
State | NY |
Zip Code | 13206-1405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962901397 | Wellnow Urgent Care, PC | Clinic/Center | 6227 Thompson Rd, Syracuse, NY 13206-1405 | 2018-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194336248 | Amanda E Vadala | Dietitian, Registered | 216 Conklin Ave, Syracuse, NY 13206 | 2020-08-12 |
1265099378 | Trina Leigh-marie Stearns | Licensed Practical Nurse | 525 Mosley Drive, Syracuse, NY 13206 | 2019-05-23 |
1821583436 | Jacqueline Amanda Weiner | Marriage & Family Therapist | 3532 James Street, Syracuse, NY 13206 | 2018-06-26 |
1447767025 | Reality Awareness Outreach Inc | Peer Specialist | 117 S Collingwood Ave, Syracuse, NY 13206 | 2018-01-04 |
1790296325 | Rachel Segrue | Registered Nurse | 420 Ridgewood Dt, Syracuse, NY 13206 | 2017-10-23 |
1013391754 | Iva Kay Peterson | Registered Nurse | 308 Nichols Ave, Syracuse, NY 13206 | 2015-07-13 |
1730433673 | April Hanson | Licensed Vocational Nurse | 157 South Midler Ave, Syracuse, NY 13206 | 2012-10-30 |
1669722237 | Kimberly Tortorici | Specialist | 1951 Caleb Avenue, Syracuse, NY 13206 | 2012-09-11 |
1669769394 | Janiqua M Davis | Licensed Practical Nurse | 158 Lynwood Ave, Apt. 1, Syracuse, NY 13206 | 2011-07-01 |
1871886960 | Gina Tornatore | Pharmacist | 1820 Teall Ave., Syracuse, NY 13206 | 2011-05-23 |
Find all providers in zip 13206 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
1679191019 | Katherine Rose Halleck | Nurse Practitioner | 141 Atkinson Ave, Syracuse, NY 13207-1125 | 2020-07-13 |
1649817693 | Ladislava Kulikova | Nurse Practitioner | 55 Westbrook Hills Dr, Syracuse, NY 13215-1809 | 2019-12-09 |
1841845799 | Robin M Stark | Nurse Practitioner | 1000 E Genesee St Ste 402, Syracuse, NY 13210-1853 | 2019-08-07 |
1699335729 | Kathleen M Tindall | Nurse Practitioner | 739 Irving Ave Ste 450, Syracuse, NY 13210-1663 | 2019-06-20 |
1760964142 | Stacey Margaret Schneble | Nurse Practitioner | 114 Skyview Ter, Syracuse, NY 13219-2850 | 2018-09-03 |
1447753355 | Lilia P Buchmuller | Nurse Practitioner | 1361 S 2675 W, Syracuse, UT 84075-8306 | 2018-03-16 |
1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
1225550783 | Kerry Laine Goessling | Nurse Practitioner | 6712 Brooklawn Pkwy Ste 204, Syracuse, NY 13211-2158 | 2017-07-16 |
Find all providers in SYRACUSE |
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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.