MRS. JACQUELINE NICOLE STUMBO (NPI# 1275938904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275938904 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE NICOLE STUMBO |
| Credential | APRN |
| Practice Address |
617 23rd St Suite 11 Ashland KY 41101-2880 |
| Practice Telephone | 6063243188 |
| Mailing Telephone | 6063243188 |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2015-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3009030 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
617 23RD ST SUITE 11 |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-2880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512133 | Dana Allen Johnson | Internal Medicine | 617 23rd St, Suite 19, Ashland, KY 41101-2845 | 2005-07-20 |
| 1023472909 | Ryan Johnson | Emergency Medicine | 617 23rd St, Ashland, KY 41101-2880 | 2016-04-07 |
| 1730555426 | Thomas L Mahoney, Md, Pllc | Specialist | 617 23rd St, Suite 415, Ashland, KY 41101-2880 | 2015-08-17 |
| 1285999615 | Miranda Diane Davis | Nurse Practitioner | 617 23rd St, Suite415, Ashland, KY 41101-2880 | 2012-07-11 |
| 1417233909 | Labone of Ohio Inc | Clinical Medical Laboratory | 617 23rd St, Ste 415, Ashland, KY 41101-0000 | 2011-10-27 |
| 1326342304 | Jerald M. Ford, M.d., Psc | Obstetrics & Gynecology | 617 23rd St, Suite 415, Ashland, KY 41101-2880 | 2011-01-05 |
| 1023271913 | Chad Jacob Tarabolous | Internal Medicine | 617 23rd St, Suite 19, Ashland, KY 41101-2880 | 2008-07-09 |
| 1588835037 | Vascular Institute of Kentucky Psc | Nurse Practitioner | 617 23rd St, Ste. 445, Ashland, KY 41101-2880 | 2008-03-12 |
| 1770752123 | Ashland Center for Women's Health | Non-Pharmacy Dispensing Site | 617 23rd St, Ste 415, Ashland, KY 41101-2880 | 2008-02-29 |
| 1194904490 | Ashland Plastic Surgery Inc Psc | Plastic Surgery | 617 23rd St, Ashland, KY 41101-2880 | 2007-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123519 | Daniel Purtell | Nurse Practitioner | 10 Slash Ct, Ashland, VA 23005-2170 | 2020-08-07 |
| 1942819974 | Nicholas Heith Elliott | Nurse Practitioner | 40 Winborn Ave, Ashland, MS 38603-6631 | 2020-07-27 |
| 1942836382 | Timothy Browning | Nurse Practitioner | 100 Laurel Ct, Ashland, KY 41101-2194 | 2020-03-17 |
| 1700410081 | Thomas Earl Moore | Nurse Practitioner | 5575 Dana Dr, Ashland, KY 41102-9647 | 2020-02-26 |
| 1811520190 | Heidi Barnes | Nurse Practitioner | 6628 Us Route 60, Ashland, KY 41102-9529 | 2020-02-14 |
| 1982235016 | Anna Layne Salow | Nurse Practitioner | 2302 Moore St, Ashland, KY 41101-3821 | 2020-01-28 |
| 1548777832 | Amy Denise Adkins | Nurse Practitioner | 2021 S Baney Rd, Ashland, OH 44805 | 2018-01-08 |
| 1295245207 | Christine Michelle Meeting | Nurse Practitioner | 1251 Township Road 1253, Ashland, OH 44805-4606 | 2017-10-04 |
| 1144739384 | Lindsay Robbins Culver | Nurse Practitioner | 635 N Wasington Highway, Ashland, VA 23005-1463 | 2017-09-20 |
| 1790219624 | Tracey Renee Thomas | Nurse Practitioner | 651 Us Route 250 E, Ashland, OH 44805 | 2017-04-18 |
| Find all providers in ASHLAND | ||||
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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.