ROXANE THERESA MONCURE (NPI# 1396202396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396202396 |
| Entity Type | Individual |
| Full Name | ROXANE THERESA MONCURE |
| Credential | AGNP |
| Practice Address |
919 Rutherford Dr Jackson MS 39206-2033 |
| Practice Telephone | 6012596426 |
| Practice Fax Number | 6013762570 |
| Mailing Telephone | 6012596426 |
| Mailing Fax Number | 6013762570 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AG01190040 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | WOUNDCARE | 903127 | 01 |
| Street Address |
919 RUTHERFORD DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39206-2033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023661824 | Latoya Lanette Trunell | Occupational Therapy Assistant | 787 East Northside Drive, Jackson, MS 39206 | 2019-07-20 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| 1679065916 | Savannah Lee Zachry | Physical Therapist | 5140 Galaxie Dr Ste 108, Jackson, MS 39206 | 2018-06-02 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1841719903 | Yolanda Yvette Bell | Nurse Practitioner | 6064 Whitestone Rd, Jackson, MS 39206 | 2017-09-10 |
| 1760907117 | Anthony Brown Jr. | Physical Therapist | 5411 I-55 North, Jackson, MS 39206 | 2017-08-07 |
| 1114457132 | Ambric N Williams | Occupational Therapy Assistant | 6017 Whitestone Rd, Jackson, MS 39206 | 2017-06-13 |
| 1952835613 | Peak Chiropractic Care, LLC | Chiropractor | 4915 I-55 North, Suite 201b, Jackson, MS 39206 | 2017-04-19 |
| 1447798293 | Peterkin and Associates of Mississippi Inc | Community/Behavioral Health | 5155 Galaxie Drive, Suite F, Jackson, MS 39206 | 2017-02-01 |
| 1952844219 | Jennifer Penick | Counselor | 460 Briarwood Drive, Suite 510, Jackson, MS 39206 | 2016-11-18 |
| Find all providers in zip 39206 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306350129 | Tamika M Broome | Nurse Practitioner | 350 W Woodrow Wilson Ave # 411, Jackson, MS 39213-7681 | 2017-12-01 |
| 1073840021 | Alanna Jillian Wright | Nurse Practitioner | 1815 Hospital Dr Ste 140b, Jackson, MS 39204-3425 | 2009-11-12 |
| 1578521852 | Vicki Helena Tyrrell | Nurse Practitioner | 400 Hinckley Blvd, Suite 300, Jackson, MI 49203-6125 | 2006-05-03 |
| 1346861440 | Charlie Murphy Gantt | Nurse Practitioner | 205 N East Ave, Jackson, MI 49201-1753 | 2020-04-29 |
| 1497396394 | Daniel Patrick Welch | Nurse Practitioner | 2969 Curran Dr N, Jackson, MS 39216-4121 | 2019-10-01 |
| 1891253811 | Felecia D Carter | Nurse Practitioner | 969 Lakeland Dr, Jackson, MS 39216-4606 | 2019-03-08 |
| 1871068098 | Branson Hal Smith | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4505 | 2018-10-04 |
| 1518457928 | Shemina Johnnice Ransom | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2018-05-11 |
| 1609389436 | April A Calvert | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2017-11-15 |
| 1538684857 | Sarah Ballinger | Nurse Practitioner | 2969 Curran Dr N Ste 200, Jackson, MS 39216 | 2017-08-08 |
| Find all providers in JACKSON | ||||
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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.