MRS. JACQUELINE MARIE EDWARDS (NPI# 1336306760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336306760 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE MARIE EDWARDS |
| Credential | LPN |
| Practice Address |
300 W Mcnichols Rd Detroit MI 48203-2703 |
| Mailing Address |
4372 Harvard Rd Detroit MI 48224-2346 |
| Practice Telephone | 3138678015 |
| Mailing Telephone | 3138850223 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703078787 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1487918595 | Jacqueline Edwards | Psychologist | 370 Casa Norte Dr Unit 2064, North Las Vegas, NV 89031-3344 | 2012-07-03 |
| 1295285773 | Jacqueline Edwards | Physician Assistant | 701 Ostrum St, Suite 201, Fountain Hill, PA 18015-1155 | 2016-10-10 |
| 1033239793 | Jacqueline Edwards | Rehabilitation Practitioner | 456 Elm Ave, Long Beach, CA 90802-2426 | 2007-03-29 |
| Street Address |
300 W MCNICHOLS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48203-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437236940 | New Light Recovery Center, Inc. | Counselor | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2006-11-01 |
| 1184180937 | Mae Catherine Rogers | Counselor | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2019-02-18 |
| 1417435959 | Yolanda Michelle Gardner | Counselor | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2018-08-06 |
| 1942725817 | Delano Jermaine Stokes I | Counselor | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2017-08-11 |
| 1881119865 | Omosalewa Akinmolu Olafioye | Acupuncturist | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2017-08-10 |
| 1487179446 | Beverly Y Jones | Counselor | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2017-08-10 |
| 1639694888 | Carmela Logwood | Counselor | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2017-08-09 |
| 1710402136 | Joseph Scott Tencza | Counselor | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2017-08-07 |
| 1942752688 | Gwendolyn Natasha Fuller | Licensed Practical Nurse | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2016-10-28 |
| 1366803587 | Reima Watson | Counselor | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2016-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
| 1851868582 | Community Veterans Services Inc | Counselor | 163 Tennyson, Highland Park, MI 48203 | 2018-10-31 |
| 1346601838 | Rainbow Center of Michigan | Health Maintenance Organization | 12501 Hamilton Ave., Highland Park, MI 48203 | 2016-03-11 |
| 1134502354 | Minds Moving In New Directions Inc | Community/Behavioral Health | 62 Massachusetts St, Highland Park, MI 48203 | 2015-07-07 |
| 1811312937 | Brea Holloway | Home Health | 20249 Yacama Rd, Detroit, MI 48203 | 2014-02-26 |
| 1770821795 | St John Providence Health Systems | Community/Behavioral Health | 1150 Lantz St, Detroit, MI 48203 | 2013-01-25 |
| 1871845412 | Waneta Darcell Dickerson | Social Worker | 169 W. Buena Vista, Highlandpark, MI 48203 | 2012-10-05 |
| 1629331939 | Maureen Connolly | Pediatrics | 77 Victor St, Highland Park, MI 48203 | 2012-06-21 |
| 1578850251 | Detroit Recovery Project | Community/Behavioral Health | 1121 East Mc Nichols, Detroit, MI 48203 | 2011-07-01 |
| 1265728414 | Barbara Suzanne Tyson | Home Health | 301 Glendale St, Apt B8, Highland Park, MI 48203 | 2011-06-27 |
| Find all providers in zip 48203 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006538 | David Bradley | Licensed Practical Nurse | 15540 Prevost St, Detroit, MI 48227-1963 | 2020-09-01 |
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1518585504 | Lesley Dixon | Licensed Practical Nurse | 16668 Freeland St, Detroit, MI 48235-4500 | 2020-07-07 |
| 1720607237 | Nakesta Richardson | Licensed Practical Nurse | 9994 Bramell, Detroit, MI 48239-1304 | 2020-04-14 |
| 1962021477 | Torie Shatita Taylor | Licensed Practical Nurse | 22556 W Mcnichols Rd, Detroit, MI 48219-3140 | 2020-04-14 |
| 1689203499 | Tiffany Nicole Pierce | Licensed Practical Nurse | 8145 Greenfield Rd, Detroit, MI 48228-2220 | 2020-04-03 |
| 1750917118 | Stephanie Renee Williams | Licensed Practical Nurse | 8919 Prest St, Detroit, MI 48228-2200 | 2020-03-18 |
| 1417581299 | Valerie Adeyemi | Licensed Practical Nurse | 16559 Sorrento St, Detroit, MI 48235-4209 | 2020-03-02 |
| 1386276228 | Vikita Franklin | Licensed Practical Nurse | 16575 Snowden St, Detroit, MI 48235-4274 | 2020-02-09 |
| 1033749387 | Lachelle Mylinda Garrett | Licensed Practical Nurse | 18060 Gruebner St, Detroit, MI 48234-3854 | 2020-01-24 |
| Find all providers in DETROIT | ||||
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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.