MRS. JACLYN PLAICE WILSON (NPI# 1346603941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346603941 |
Entity Type | Individual |
Full Name | MRS. JACLYN PLAICE WILSON |
Credential | WHNP |
Practice Address |
500 Lakeshore Pkwy Rock Hill SC 29730-4273 |
Mailing Address |
281 Rolling Ridge Rd Rock Hill SC 29730-6124 |
Practice Telephone | 8039096363 |
Mailing Telephone | 8039847420 |
Enumeration Date | 2016-03-31 |
Last Update Date | 2019-07-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
20082 | SC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366061756 | Jaclyn Wilson | Licensed Vocational Nurse | 9846 Highway 31 E, Tyler, TX 75705-2329 | 2020-04-15 |
Street Address |
500 LAKESHORE PKWY |
City | ROCK HILL |
State | SC |
Zip Code | 29730-4273 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891005104 | Providence Care LLC | Hospice Care, Community Based | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 | 2010-10-20 |
1356803563 | Ashley Thomas Ashford | Nurse Practitioner | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 | 2019-04-05 |
1003374034 | Providence Home Health | Home Health | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 | 2019-03-08 |
1073005724 | Gerald Alfred Bracete | Nurse Practitioner | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 | 2018-05-30 |
1306376199 | Tracie Young | Nurse Practitioner | 500 Lakeshore Pkwy, Rock Hill, SC 29730 | 2017-06-14 |
1265976161 | Lasinda Orr | Dietitian, Registered | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 | 2016-12-12 |
1205380987 | Amber Hinson | Nurse Practitioner | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 | 2016-08-10 |
1689912495 | Providence House Calls LLC | Family Medicine | 500 Lakeshore Pkwy, Rock Hill, SC 29730-4273 | 2013-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972132116 | Jennifer D Dawkins | Health Educator | 151 S. Oakland Ave., Rock Hill, SC 29730 | 2020-04-08 |
1598312969 | Erinnae Cline | Counselor | 864 Springdale Road, Rock Hill, SC 29730 | 2019-08-21 |
1982175139 | A&s Humans Services LLC | Meals | 1111 Southland Dr, Rock Hill, NC 29730 | 2018-12-16 |
1437642824 | Embrace Clinical Services LLC | Social Worker | 331 East Main Streest, Rock Hill, SC 29730 | 2018-06-11 |
1558852384 | Affinity Health Center - Dental | Dentist | 500 Lakeshore Parkway, Rock Hill, SC 29730 | 2018-05-29 |
1942729603 | Carolina Therapy Solutions for Kids, LLC | Occupational Therapy Assistant | 458 Anvil Draw Pl, Rock Hill, SC 29730 | 2017-09-13 |
1245750041 | Revelation Home Health Care | In Home Supportive Care | 331 E. Main Street, Rock Hill, SC 29730 | 2017-06-22 |
1538696703 | Ivan Alexander Carrion | Dentist | 2427 Cross Pointe Dr Ste 101, Rock Hill, SC 29730 | 2017-05-17 |
1154861045 | Community Medicine Foundation, Inc | Clinic/Center | 1140 Saluda Street, Women's Health and Pediatric /adolescent Center, Rock Hill, SC 29730 | 2017-02-27 |
1912447996 | Carolinas Medical Center At Home, LLC | Home Health | 226 Northpark Drive, Suite 120, Rock Hill, SC 29730 | 2017-02-24 |
Find all providers in zip 29730 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790100063 | Jutta Cameron | Nurse Practitioner | 1131 Saluda St, Rock Hill, SC 29730-5776 | 2014-02-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659919710 | Christy Marie South | Nurse Practitioner | 81 Pointe Cir Ste D, Greenville, SC 29615-3505 | 2019-12-19 |
1598217457 | Amanda Jean Ruby | Nurse Practitioner | 3864 Renee Dr, Myrtle Beach, SC 29579-4108 | 2016-10-26 |
1174920847 | Tyra L Taylor | Nurse Practitioner | 2 Maple Tree Ct, Bon Secours Ob-gyn, Greenville, SC 29615-4068 | 2014-11-24 |
1407199060 | Victoria Lynn Brassfield | Nurse Practitioner | 1220 Hospital Dr Ste A, Mount Pleasant, SC 29464-3678 | 2013-04-02 |
1578825444 | Miriam Faith Criswell | Nurse Practitioner | 727 Se Main St Ste 120, Simpsonville, SC 29681 | 2012-06-15 |
1669747341 | Michaela Buchanan French | Nurse Practitioner | 11 Park Creek Drive, Greenville, SC 29605 | 2012-03-14 |
1770865511 | Amanda C Naramore | Nurse Practitioner | 343 Old South Way, Mt Pleasant, SC 29464-7854 | 2011-09-19 |
1487961876 | Isis Lucia Hart | Nurse Practitioner | 25 Hospital Center Blvd Ste 305, Hilton Head Island, SC 29926-2739 | 2010-09-07 |
1952432882 | Billie S Buchanan | Nurse Practitioner | 202 Victoria St, Greer, SC 29651-3436 | 2007-03-09 |
1578602546 | Beverly I Huegel | Nurse Practitioner | 4311 Hard Scrabble Rd, Columbia, SC 29229-9422 | 2007-02-06 |
Find all providers with the same taxonomy |
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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.