MRS. JACQUELINE GONNER (NPI# 1144344698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144344698 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE GONNER |
| Credential | CRNP |
| Practice Address |
1601 Center St Ste 1s Mobile AL 36604-1512 |
| Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2514105437 |
| Practice Fax Number | 2514345037 |
| Mailing Telephone | 2514105437 |
| Mailing Fax Number | 2514345037 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-060357 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1601 CENTER ST STE 1S |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078084 | Manuel Preston Daugherty | Orthopaedic Surgery | 1601 Center St, Ste 3n, Mobile, AL 36604-1512 | 2005-07-28 |
| 1003420456 | Robin Shumaker | Physician Assistant | 1601 Center St, Mobile, AL 36604-1541 | 2020-09-03 |
| 1346851946 | Myrtle Delgado | Pediatrics | 1601 Center St, Mobile, AL 36604-1541 | 2020-08-17 |
| 1326656612 | Ashley Marie Jackson | Nurse Practitioner | 1601 Center St, Mobile, AL 36604-1541 | 2020-07-22 |
| 1083250583 | Tinsley Phillips Chavers | Dietitian, Registered | 1601 Center St, Mobile, AL 36604-1541 | 2019-11-20 |
| 1528626785 | Usa Health Physician Billing Services LLC | Surgery | 1601 Center St, Mobile, AL 36604-1541 | 2019-06-03 |
| 1346808508 | Usa Health Physician Billing Services LLC | Surgery | 1601 Center St, Mobile, AL 36604-1541 | 2019-06-03 |
| 1073171237 | Usa Health Physician Billing Services LLC | Surgery | 1601 Center St, Mobile, AL 36604-1541 | 2019-06-03 |
| 1750949913 | Usa Health Physician Billing Services LLC | Durable Medical Equipment & Medical Supplies | 1601 Center St, Mobile, AL 36604-1541 | 2019-06-03 |
| 1215595657 | Usa Health Physician Billing Services LLC | Medical Genetics | 1601 Center St, Mobile, AL 36604-1541 | 2019-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| Find all providers in zip 36604 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222145 | Robert Adam Vickrey | Nurse Practitioner | 1718 Hunters Ridge Dr W, Mobile, AL 36695-9246 | 2020-07-15 |
| 1588286850 | Brandie Nicole Banks | Nurse Practitioner | 320 Stanton Rd Apt 1517, Mobile, AL 36617-2481 | 2020-05-10 |
| 1215569249 | Lisa K. Morris | Nurse Practitioner | 5721 Usa Drive North Hahn 2044, Mobile, AL 36688-0001 | 2020-02-07 |
| 1679118525 | Hicks Home-based Primary Care, LLC | Nurse Practitioner | 1111 E I65 Service Rd S Ste 210, Mobile, AL 36606-3123 | 2019-11-14 |
| 1417504325 | Jamie Kathryn Turner | Nurse Practitioner | 13080 Oak Forge Dr, Mobile, AL 36608-8782 | 2019-08-25 |
| 1780142653 | Melissa Snow Bryan | Nurse Practitioner | 4937 Langham Pl, Mobile, AL 36619-5201 | 2019-03-08 |
| 1508322231 | Akiko Ishida Makino | Nurse Practitioner | 75 S University Blvd # 6000a, Mobile, AL 36608-3042 | 2019-02-19 |
| 1932674975 | Justin Blake Stokes | Nurse Practitioner | 2050 Michigan Ave., Mobile, AL 36615 | 2018-10-05 |
| 1821590647 | Charleen Jackson | Nurse Practitioner | 2423 Schillinger Rd S Ste 103, Mobile, AL 36695-4142 | 2018-03-07 |
| 1265949200 | Jennifer Jennings Davis | Nurse Practitioner | 2451 Fillingim Street Suite 10-i, Mobile, AL 36617-2293 | 2017-12-29 |
| Find all providers in MOBILE | ||||
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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.