JACQUELINE GROOMS OLIVER


Address: 101 Kellie Dr, Smithfield, NC 27577-9443
Phone: 9199383749

JACQUELINE GROOMS OLIVER (NPI# 1467817353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467817353
Entity Type Individual
Full Name JACQUELINE GROOMS OLIVER
Credential PNP-AC
Practice Address 101 Kellie Dr
Smithfield
NC 27577-9443
Mailing Address 3503 Berkshire Dr Nw
Wilson
NC 27896-1499
Practice Telephone 9199383749
Mailing Telephone 8283161367
Enumeration Date 2015-12-21
Last Update Date 2019-02-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
5008262 NC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2100 Stantonsburg Rd, Greenville, NC 278342818 2528474100

Other Providers JACQUELINE OLIVER

NPI Name Taxonomy Address Enumeration
1659913283 Jacqueline Alexander Oliver Physician Assistant 3198 Pacific Ave Ste 104, Virginia Beach, VA 23451-2949 2019-10-15
1588858021 Jacqueline Oliver Occupational Therapist 705 E 7th St, Fowler, IN 47944-1539 2007-08-28
1578072716 Jacqueline D Oliver Speech-Language Pathologist 1910 S Virginia St, Hopkinsville, KY 42240-3692 2017-09-20
1730290842 Jacqueline D Oliver Physical Therapist 530 Lakehurst Rd, Suite 202/204, Toms River, NJ 08755-8063 2006-08-31

Office Location

Street Address 101 KELLIE DR
City SMITHFIELD
State NC
Zip Code 27577-9443

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487612628 Kids Care Pediatrics Pa Pediatrics 101 Kellie Dr, Smithfield, NC 27577-9443 2006-05-03
1720640568 Shelli Hoyes Registered Nurse 101 Kellie Dr, Smithfield, NC 27577-9443 2019-07-02
1467954396 Caroline Bernthal Nurse Practitioner 101 Kellie Dr, Smithfield, NC 27577-9443 2018-03-07
1427500982 Kate Elizabeth Houghtalen Registered Nurse 101 Kellie Dr, Smithfield, NC 27577-9443 2016-11-01
1174826952 Lori Beth Bailey Registered Nurse 101 Kellie Dr, Smithfield, NC 27577-9443 2010-12-16
1013065390 Karen H Merritt Nurse Practitioner 101 Kellie Dr, Smithfield, NC 27577-9443 2007-01-05
1346298973 Lisa M.l. Parker Pediatrics 101 Kellie Dr, Smithfield, NC 27577-9443 2006-05-05
1629036256 Debra J Tetreault Pediatrics 101 Kellie Dr, Smithfield, NC 27577-9443 2006-05-03
1558329110 Penelope S Bliss Pediatrics 101 Kellie Dr, Smithfield, NC 27577-9443 2006-05-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851919047 Sherwin Cuaresma Bernardino Physical Therapist Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 2020-07-14
1386297299 Johnston Opco, LLC Non-emergency Medical Transport (VAN) 200 Kellie Dr, Smithfield, NC 27577 2019-07-19
1790255362 Adrian Brook Taylor Physical Therapist 540 North Street, Smithfield, NC 27577 2018-11-27
1497260608 Providence Healthcare of The Carolinas Assisted Living Facility 4302 Hwy Nc 210, Smithfield, NC 27577 2017-12-11
1720593908 Latorya Delois Moore Nurse Practitioner 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 2017-12-09
1124546171 Walgreen Co Durable Medical Equipment & Medical Supplies 104 N Brightleaf Blvd, Smithfield, NC 27577 2017-08-30
1316482201 Providence Pain, Spine & Recovery, Pllc Anesthesiology 7 Berkshire Rd, Smithfield, NC 27577 2016-12-30
1407203318 Linda Pearl Trujillo Early Intervention Provider Agency 623 Tralee Dr, Smithfield, NC 27577 2016-05-20
1336500206 Saundra Casey Counselor 15 Noble Street, Smithfield, NC 27577 2016-03-18
1639537707 Ralph Edwin Wilson Jr. Physician Assistant 100 Kellie Drive, Smithfield, NC 27577 2016-02-04
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962442376 Sharon Q Capuano Nurse Practitioner 1150 Douglas Pike, Smithfield, RI 02917 2006-06-07
1609488535 Alexis Fernandez Nurse Practitioner 1519 E Booker Dairy Rd, Smithfield, NC 27577-9472 2020-08-21
1467954396 Caroline Bernthal Nurse Practitioner 101 Kellie Dr, Smithfield, NC 27577-9443 2018-03-07
1245698620 Ashleigh Pappadake Martin Nurse Practitioner 1519 E Booker Dairy Rd, Smithfield, NC 27577-9472 2016-02-01
1770826950 Shannon Ford Nurse Practitioner 11 Berkshire Rd, Smithfield, NC 27577-4748 2013-04-05
1356495683 Jana S Kellam Nurse Practitioner 11 Berkshire Rd, Smithfield, NC 27577 2007-01-23
1013065390 Karen H Merritt Nurse Practitioner 101 Kellie Dr, Smithfield, NC 27577-9443 2007-01-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811594732 Megan Hoekstra Nurse Practitioner 8358 Six Forks Rd Ste 204, Raleigh, NC 27615-5093 2020-10-04
1639713118 Holly Hattler Barber Nurse Practitioner Unc Dept of Pediatrics 030 Macnider Hall Cb 7231, Chapel Hill, NC 27599-0001 2019-10-29
1437709565 Molly Benson Miller Nurse Practitioner 101 Manning Dr Cb 7236, Chapel Hill, NC 27599-7236 2019-09-20
1407406267 Michelle Ferricher Nurse Practitioner Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 2019-09-13
1548814072 Ashley Goodwin Friddle Nurse Practitioner 802 Green Valley Rd Ste 210, Greensboro, NC 27408-7099 2019-08-01
1740743129 Jennifer W Farrow Nurse Practitioner 940 Se Cary Pkwy Ste 200, Cary, NC 27518-7417 2019-04-11
1538641147 Taylor Rippy Nurse Practitioner 2304 Delaney Ave, Wilmington, NC 28403-6013 2018-08-30
1427544931 Sheila L Mason Nurse Practitioner Wfbmc 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2018-07-09
1770099319 Jillian Hernandez Sprague Nurse Practitioner 101 E Matthews St Ste 800, Matthews, NC 28105-5374 2017-12-19
1427587625 Amanda Register Nurse Practitioner 110 E Park Dr, Beulaville, NC 28518-6916 2017-06-09
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Competitor

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City SMITHFIELD
Zip Code 27577

Improve Information

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Dataset Information

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.

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