MS. JESSICA ANN DONALDSON (NPI# 1174030001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174030001 |
| Entity Type | Individual |
| Full Name | MS. JESSICA ANN DONALDSON |
| Credential | FNP |
| Practice Address |
9562 State Route #13 Camden NY 13316-4940 |
| Practice Telephone | 3152455029 |
| Practice Fax Number | 3152455056 |
| Mailing Telephone | 3152455029 |
| Mailing Fax Number | 3153245150 |
| Enumeration Date | 2017-12-31 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
341938 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05053223 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8270 Kimball Rd, Blossvale, NY 133083111 | 3157444145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548799539 | Jessica Lynn Donaldson | Physical Therapist | 3 Fawn Meadows Dr, Eureka, MO 63025-1207 | 2017-06-05 |
| 1437686789 | Jessica Rose Donaldson | Counselor | 310 W Lakeside Ave, Cleveland, OH 44113-1044 | 2017-05-17 |
| 1598187981 | Jessica Donaldson | Chiropractor | 6545 Flying Cloud Dr, Suite 100, Eden Prairie, MN 55344-3303 | 2014-01-20 |
| 1487198057 | Jessica Donaldson | Social Worker | 1017 Fayetteville Rd Se, Suite B, Atlanta, GA 30316-2932 | 2016-12-15 |
| 1174982417 | Jessica Donaldson | Marriage & Family Therapist | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2016-02-15 |
| 1487935979 | Jessica Summers Donaldson | Pediatrics | 5002 Waters Ave, Savannah, GA 31404 | 2011-08-29 |
| 1982802609 | Jessica Donaldson | Speech-Language Pathologist | 4210a Louisiana Blvd Ne, Albuquerque, NM 87109-1807 | 2007-07-03 |
| Street Address |
9562 STATE ROUTE #13 |
| City | CAMDEN |
| State | NY |
| Zip Code | 13316-4940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598119380 | Desiree Ann Holbert | Licensed Practical Nurse | 1195 Curtiss Road, Camden, NY 13316 | 2016-04-18 |
| 1245634989 | Rebecca Ann Kenderes | Physician Assistant | 5 Masonic Avenue, Camden, NY 13316 | 2014-10-09 |
| 1609122746 | Donna Mastin | Registered Nurse | 5 6th Street, Camden, NY 13316 | 2012-07-26 |
| 1942404025 | Deborah Lee Staple | Pediatrics | 90 Taberg Road, Camden, NY 13316 | 2007-06-13 |
| 1417063512 | William M Lappin | Pharmacist | 104 Taberg Rd, Camden, NY 13316 | 2006-08-22 |
| 1265459994 | Sabah Ahmeida Elmasouri | Dentist | 24 Mexico St, Camden, NY 13316 | 2006-07-17 |
| 1740281773 | Town of Camden | Ambulance | 14 Church St, Camden, NY 13316 | 2005-08-01 |
| 1912322272 | Town of Osceola Ambulance Service | Ambulance | 14 Church St, Camden, NY 13316-1002 | 2014-02-24 |
| 1245355304 | Aaron Andrew Linder | Specialist/Technologist | 55 Oswego St, Camden, NY 13316-1025 | 2007-03-20 |
| 1164725800 | Kimberly P Kimmel | Speech-Language Pathologist | 1 Oswego St, Camden, NY 13316-1038 | 2010-12-20 |
| Find all providers in zip 13316 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033691654 | Melinda Branham | Nurse Practitioner | 93 Burbage St, Camden, SC 29020-1596 | 2018-08-30 |
| 1205348679 | Michael Joseph Foglio | Nurse Practitioner | 1600 Haddon Ave # Er, Camden, NJ 08103-3101 | 2017-10-25 |
| 1205371770 | Rachel Degtyarev | Nurse Practitioner | 1 Cooper Plz Rm 513, Camden, NJ 08103-1461 | 2016-12-19 |
| 1508309766 | Jessica Millraney | Nurse Practitioner | 30 S Court Sq, Camden, TN 38236 | 2016-11-21 |
| 1619324852 | Heather Larkins | Nurse Practitioner | 284 Highway 641 N, Camden, TN 38320-1350 | 2016-05-18 |
| 1528441706 | Susanne Marie Johnson | Nurse Practitioner | 525 Clinton Street, Camden, NJ 08103 | 2015-07-07 |
| 1588003842 | Andrea Susanne Abbott | Nurse Practitioner | 178 Schools Dr, Camden, TN 38320-3026 | 2013-06-20 |
| 1134467277 | Patricia Golato | Nurse Practitioner | 3 Cooper Plz Rm 116, Camden, NJ 08103 | 2013-01-24 |
| 1134495906 | Jessica Epps Wilkes | Nurse Practitioner | 110 E Dekalb St # C, Camden, SC 29020-4432 | 2012-03-27 |
| 1649569781 | Direct Medical Care | Nurse Practitioner | 1508 Darling Farm Rd, Camden, DE 19934-3734 | 2011-03-29 |
| Find all providers in CAMDEN | ||||
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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.