MS. JACQUALINE KAY GERVAIS (NPI# 1336481803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336481803 |
| Entity Type | Individual |
| Full Name | MS. JACQUALINE KAY GERVAIS |
| Other Name | MRS. JACQUALINE BLEESS TOPPEN |
| Credential | PMHNP |
| Practice Address |
510. 4th St S Prairie St. John's Fargo ND 58103 |
| Mailing Address |
819. 30 Ave S Office 206 Moorhead MN 56560 |
| Practice Telephone | 7014767200 |
| Mailing Telephone | (218) 233-2288 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2017-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R32567 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
510. 4TH ST S PRAIRIE ST. JOHN'S |
| City | FARGO |
| State | ND |
| Zip Code | 58103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699325191 | Whitney Renae Fear | Nurse Practitioner | 301 Np Ave N, Fargo, ND 58102-4835 | 2019-09-17 |
| 1043763220 | Ashley Bishop | Nurse Practitioner | 510 4th St S, Fargo, ND 58103-1914 | 2016-07-25 |
| 1699102897 | Lindsey Marie Sloan Peterson | Nurse Practitioner | 100 4th St S, Fargo, ND 58103-1929 | 2013-10-02 |
| 1265475305 | Anne Georgina Cushing | Nurse Practitioner | 100 4th St S, Fargo, ND 58103-1929 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860541 | Inspired Healthcare, Pllc | Nurse Practitioner | 1301 6th Ave Sw, Jamestown, ND 58401-5220 | 2020-04-17 |
| 1447735030 | Lisa Marie Clinkscales | Nurse Practitioner | 521 S 6th St, Grand Forks, ND 58201-4617 | 2018-09-28 |
| 1881138238 | Ashley A Beeter, Pmh-dnp | Nurse Practitioner | 24 North Main Street, Suite K, Minot, ND 58703 | 2016-12-05 |
| 1346792561 | Heather Counts | Nurse Practitioner | 11 Main Street East, Dunseith, ND 58329 | 2016-11-04 |
| 1831431949 | Ashley Ann Thiel | Nurse Practitioner | 24 Main St N, Suite K, Minot, ND 58703-3104 | 2013-03-27 |
| 1366782609 | Wanda Ann Sprenger | Nurse Practitioner | 407 3rd St. S.e., Minot, ND 58701-4470 | 2013-02-24 |
| 1275845547 | Nicole Olivia Wilson | Nurse Practitioner | 914 1st Ave Se, Minot, ND 58701-4008 | 2010-07-02 |
| 1841443025 | Lisa Karen Watkins | Nurse Practitioner | 1850 Billings Dr, Bismarck, ND 58504-7251 | 2008-10-31 |
| 1275715682 | Jennifer L Keplin | Nurse Practitioner | 1015 Hospital Rd. Suite A, Belcourt, ND 58316 | 2007-11-28 |
| 1740887207 | Sheila Kinzler | Nurse Practitioner | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. JACQUALINE KAY GERVAIS.
| 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.