MS. QUEENEICE BOYETTE GANISON (NPI# 1437621323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437621323 |
| Entity Type | Individual |
| Full Name | MS. QUEENEICE BOYETTE GANISON |
| Credential | FNP-BC |
| Practice Address |
205 S Delta St Greenville MS 38703-4420 |
| Mailing Address |
2492 Mourning Dove St Greenville MS 38701-8121 |
| Practice Telephone | 6628223150 |
| Mailing Telephone | 6628223150 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 902219 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
205 S DELTA ST |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38703-4420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
| 1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
| 1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
| 1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
| 1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
| 1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
| 1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
| 1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
| Find all providers in zip 38703 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482280 | Deanna Mclamb | Nurse Practitioner | 3102 Bell Arthur Rd, Greenville, NC 27834-4758 | 2020-09-19 |
| 1801401252 | Jodi Lynn Tesch | Nurse Practitioner | N984 Glennview Dr, Greenville, WI 54942-8531 | 2020-09-12 |
| 1760091482 | Melinda Kathryn Galford | Nurse Practitioner | 320 Falls St Apt 303, Greenville, SC 29601-2830 | 2020-07-28 |
| 1801414750 | Christopher Mangus | Nurse Practitioner | 1806 E 1st St Apt R9, Greenville, NC 27858-2214 | 2020-07-08 |
| 1932751559 | Caroline Gray Riddick | Nurse Practitioner | 527 Mills Ave # 201a, Greenville, SC 29605-5602 | 2019-07-13 |
| 1881169662 | Gerald Braden Wiggs | Nurse Practitioner | 3023 Fernleaf Dr, Greenville, NC 27858-8192 | 2018-10-09 |
| 1073091286 | Natalie Isbell Ragsdale | Nurse Practitioner | 20 Mcgee St, Greenville, SC 29601-2210 | 2018-07-31 |
| 1760980908 | Angela Nicole Gary | Nurse Practitioner | 1003 Grove Rd Ste C2, Greenville, SC 29605-4623 | 2018-01-23 |
| 1023527934 | Jennifer Anne Hovis | Nurse Practitioner | Hcr 2 5355, Greenville, MO 63944 | 2017-09-22 |
| 1508306952 | Kimberly Janean Gan | Nurse Practitioner | 610 Ash St, Greenville, IL 62246-1370 | 2017-03-05 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 38703 |
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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.