MRS. JACQUELINE SUE ROLLINS (NPI# 1205181559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205181559 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE SUE ROLLINS |
| Credential | CP-N |
| Practice Address |
117 N. Broadway Broken Bow OK 74728-5304 |
| Mailing Address |
3310 Lamar Ave Paris TX 75460-5024 |
| Practice Telephone | 5802364314 |
| Mailing Telephone | 9039054810 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2015-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R0041400 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124293774 | Jacqueline Kristine Rollins | Skilled Nursing Facility | 125 Byrd Ave, Neenah, WI 54956-4015 | 2008-04-24 |
| Street Address |
117 N. BROADWAY |
| City | BROKEN BOW |
| State | OK |
| Zip Code | 74728-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730732926 | Natorrie D'atra Morris | Nurse Practitioner | Mccurtain Family Medical Clinic, 800 N Park Dr, Broken Bow, OK 74728 | 2019-07-17 |
| 1477925535 | Rebecca Stover | Nurse Practitioner | 813 Veterans Way, Broken Bow, OK 74728 | 2015-10-28 |
| 1023366614 | Tlc Family Clinic, LLC | Clinic/Center | 700 W. Jones, Tlc Family Clinic, LLC, Broken Bow, OK 74728 | 2012-08-29 |
| 1699925867 | Faith Lucille Phillips | Psychologist | 411 S. Park Drive, Broken Bow, OK 74728 | 2008-09-24 |
| 1265057251 | Heather Renee Payne | Counselor | 205 N. Main St, Broken Bow, OK 74728 | 2020-06-15 |
| 1396244109 | Erika Ann White | Counselor | 205 N Main St, Broken Bow, OK 74728 | 2018-02-07 |
| 1366954661 | Black Oak Clinic LLC | Clinic/Center | 110 W 1st St, Broken Bow, OK 74728 | 2017-10-26 |
| 1922467505 | Stover Family Clinic | Clinic/Center | 813 Veterans Way, Broken Bow, OK 74728 | 2016-02-11 |
| 1568820140 | Megan Elizabeth Black | Nurse Practitioner | 110 W 1st St, Broken Bow, OK 74728 | 2016-02-10 |
| 1578797221 | Kenneth G Ericksen | Chiropractor | 1605 S Park Dr, Broken Bow, OK 74728 | 2009-05-11 |
| Find all providers in zip 74728 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730732926 | Natorrie D'atra Morris | Nurse Practitioner | Mccurtain Family Medical Clinic, 800 N Park Dr, Broken Bow, OK 74728 | 2019-07-17 |
| 1992170609 | Kimberly Reece | Nurse Practitioner | 1516 Peavey Crossing Rd, Broken Bow, OK 74728-5637 | 2015-12-07 |
| 1477925535 | Rebecca Stover | Nurse Practitioner | 813 Veterans Way, Broken Bow, OK 74728 | 2015-10-28 |
| 1033657820 | Laci Kai Scott | Nurse Practitioner | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2017-02-01 |
| 1598131542 | Tabatha Leforce | Nurse Practitioner | 6026 Battiest Pickens Rd, Broken Bow, OK 74728-5033 | 2015-08-13 |
| 1639304181 | Mccurtain Memorial Medical Management, Inc. | Nurse Practitioner | 510 S Park Dr, Broken Bow, OK 74728-5330 | 2009-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306708 | Paula Sue Brown | Nurse Practitioner | 1020 N Lawson Blvd, Clayton, OK 74536-0219 | 2020-11-06 |
| 1235730581 | Cynthia Nanett Smith | Nurse Practitioner | 3009 24th Ave Se, Norman, OK 73071-1731 | 2020-11-03 |
| 1942801246 | Preston Craig | Nurse Practitioner | 1114 Mockingbird Ln, Norman, OK 73071-4838 | 2020-11-03 |
| 1528668530 | William Zachary Mccormick | Nurse Practitioner | 9900 Ashley Pl, The Village, OK 73120-3608 | 2020-10-28 |
| 1457951519 | Crystal Marie Mapes | Nurse Practitioner | 1920 E 2nd St Apt 4015, Edmond, OK 73034-6385 | 2020-10-28 |
| 1164021655 | Alana Christine Mckinney | Nurse Practitioner | 19400 Sw 44th St, El Reno, OK 73036-8191 | 2020-10-26 |
| 1063011831 | Venvisor Health Oklahoma LLC | Nurse Practitioner | 1831 E 71st St # 4213, Tulsa, OK 74136-3922 | 2020-10-22 |
| 1164021150 | Timber Laine Jackson | Nurse Practitioner | 1391 County Road 1215, Tuttle, OK 73089-3047 | 2020-10-20 |
| 1225637465 | Dakota Bell Morton | Nurse Practitioner | 208 W 35th St, Sand Springs, OK 74063-2832 | 2020-10-19 |
| 1942808746 | Shari E Stapleton | Nurse Practitioner | 324 Ceder Ln, Tuttle, OK 73089-8675 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN BOW |
| Zip Code | 74728 |
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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.