JACQUELINE J B GREACEN


Address: 6227 Thompson Rd, Syracuse, NY 13206-1405
Phone: 3159372007

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F344664 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6227 THOMPSON RD
City SYRACUSE
State NY
Zip Code 13206-1405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962901397 Wellnow Urgent Care, PC Clinic/Center 6227 Thompson Rd, Syracuse, NY 13206-1405 2018-02-12

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SYRACUSE
Zip Code 13206

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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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