JACKI STUBBENDICK


Address: 1430 Education Dr., Syracuse, NE 68446-0520
Phone: 4022692388

JACKI STUBBENDICK (NPI# 1295217974) 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) 1295217974
Entity Type Individual
Full Name JACKI STUBBENDICK
Credential RN
Practice Address 1430 Education Dr.
Syracuse
NE 68446-0520
Mailing Address 1430 Education Dr.
Po Box P
Syracuse
NE 68446-0520
Practice Telephone 4022692388
Practice Fax Number 4022692402
Mailing Telephone 4022692388
Mailing Fax Number 4022692402
Enumeration Date 2018-08-30
Last Update Date 2018-08-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WS0200X Registered Nurse
Specialization: School
62271 NE Nursing Service Providers

Office Location

Street Address 1430 EDUCATION DR.
City SYRACUSE
State NE
Zip Code 68446-0520

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215489422 Lindsey Elder Nurse Practitioner 2731 Healthcare Drive, Syracuse, NE 68446 2016-11-04
1548639693 Kenzi Steele Occupational Therapist 550 7th Street, Syracuse, NE 68446 2015-09-18
1578647848 David Jon Schrad Dentist 935 1st St., Syracuse, NE 68446 2006-10-24
1902916083 Nancy Kay Davis Chiropractor 112 Park Street, Syracuse, NE 68446 2006-08-30
1629081344 Ronda Renee Stinson Pharmacist 448 5th St, Syracuse, NE 68446 2006-08-14
1588670715 Kerstin C Beach Family Medicine 277 East 17th Street, Syracuse, NE 68446 2006-07-31
1164040754 Kali M Manley Registered Nurse 550 7th Street, Syracuse, NE 68446 2020-07-09
1275989634 Syracuse Dental Clinic LLC Clinic/Center 935 1st St, Syracuse, NE 68446 2016-05-04
1760851638 Diane Jergensen Speech-Language Pathologist 550 7th Street, Syracuse, NE 68446 2015-09-21
1033122767 Lee M Rohrs Pharmacist 448 5th St, Syracuse, NE 68446 2006-08-14
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Taxonomy Information

Taxonomy Code 163WS0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629549373 Amy Elisabeth Steigerwald Registered Nurse 400 Walberta Rd., Syracuse, NY 13219 2018-12-06
1134624976 Mary E Wixson Registered Nurse 223 Ontario Ave, Syracuse, NY 13209-1134 2018-03-26
1306242136 Celine Flannery Beers Registered Nurse 309 W Brighton Ave, Syracuse, NY 13205-1633 2014-11-05
1942605472 Kimberly Briggs Registered Nurse 600 Robinson St, Syracuse, NY 13206-3503 2014-10-27
1063843852 Anita Rowe Registered Nurse 401 Loomis Ave, Syracuse, NY 13207-2517 2013-12-05
1104170430 Mary Markert Registered Nurse 4850 Glenfield Dr, Syracuse, NY 13215-1902 2012-11-08
1679841068 Susan M Zych Registered Nurse 1728 South Ave, Syracuse, NY 13207-2003 2011-12-13
1538437744 Dawn Franits Registered Nurse 400 Sunnycrest Rd, Syracuse, NY 13206-3321 2011-12-02
1386911147 Jamie Jo Maria Cooney Registered Nurse 345 Jamesville Ave, Syracuse, NY 13210-3211 2011-11-22
1861769770 Donna Marie Dooley Registered Nurse 1528 Lemoyne Ave, Syracuse, NY 13208-1341 2011-11-20
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Competitor

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City SYRACUSE
Zip Code 68446

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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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