MS. ROSE MARIE JACK (NPI# 1538392709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538392709 |
| Entity Type | Individual |
| Full Name | MS. ROSE MARIE JACK |
| Credential | RN |
| Practice Address |
280 Cohasset Rd Chico CA 95926-2210 |
| Practice Telephone | 5308795007 |
| Practice Fax Number | 5308795013 |
| Mailing Telephone | 5308795007 |
| Mailing Fax Number | 5308795013 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
193201 | CA | Nursing Service Providers |
| Street Address |
280 COHASSET RD |
| City | CHICO |
| State | CA |
| Zip Code | 95926-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718637 | Courtney C Badour | Family Medicine | 280 Cohasset Rd, Chico, CA 95926 | 2005-05-27 |
| 1568028280 | Remington Wade | Pharmacist | 280 Cohasset Rd, Chico, CA 95926-2210 | 2019-05-17 |
| 1215413323 | Shauna Huston | Dietitian, Registered | 280 Cohasset Rd, Chico, CA 95926-2210 | 2018-07-12 |
| 1285159517 | Annabelle Korae Bradley | Social Worker | 280 Cohasset Rd, Chico, CA 95926-2210 | 2017-08-08 |
| 1255795548 | Elise Lang | Pharmacist | 280 Cohasset Rd, Chico, CA 95926-2210 | 2016-04-12 |
| 1326417403 | April Michelle Celotto | Social Worker | 280 Cohasset Rd, Chico, CA 95926-2210 | 2015-09-18 |
| 1548642812 | Cassandra Angelina Da Valle-chervellera | Social Worker | 280 Cohasset Rd, Chico, CA 95926-2210 | 2015-06-23 |
| 1932452984 | Alicia Rueda | Psychologist | 280 Cohasset Rd, Chico, CA 95926-2210 | 2012-10-16 |
| 1619226610 | Eric Ruben Nelson | Counselor | 280 Cohasset Rd, Chico, CA 95926-2210 | 2012-09-05 |
| 1194085522 | Lois Tolley | Registered Nurse | 280 Cohasset Rd, Chico, CA 95926-2210 | 2012-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386877843 | Maria Michele Fitzgerald | Registered Nurse | 280 Cohasset Rd, Chico, CA 95926-2210 | 2009-09-01 |
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|---|---|---|---|---|
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| 1447717483 | Laura Rombach Rau | Registered Nurse | 6955 Foothill Blvd Ste 450, Oakland, CA 94605-2455 | 2019-02-26 |
| 1649764374 | Cristine Philina Ong | Registered Nurse | 2233 Huntington Dr Ste 12, San Marino, CA 91108 | 2018-06-16 |
| 1790276491 | Elizabeth Mercado Aquino | Registered Nurse | 7950 Caroline Ct, Dublin, CA 94568-1411 | 2018-05-29 |
| 1780191353 | Raynard Sterling | Registered Nurse | 2161 Van Wick St, Los Angeles, CA 90047-4644 | 2018-01-04 |
| 1346767076 | David A Alvarez | Registered Nurse | 1200n. State St., Los Angeles, CA 90033 | 2017-08-24 |
| 1346764230 | Roland Quero | Registered Nurse | 1000 W Carson St Rm 1m5, Torrance, CA 90502-2004 | 2017-08-01 |
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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.