MS. JACQUELINE D PLUMMER (NPI# 1538581590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538581590 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE D PLUMMER |
| Credential | BSN, RN |
| Practice Address |
300 E Hospital Road Ddeamc, Family Practice Clinic, 2nd Floor Fort Gordon GA 30905-5650 |
| Mailing Address |
300 East Hospital Road Ddeamc Family Practice Clinic, 2nd Floor Fort Gordon GA 30905-5650 |
| Practice Telephone | 7067872927 |
| Practice Fax Number | 7067879356 |
| Mailing Telephone | 7067872927 |
| Mailing Fax Number | 7067879356 |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
125337 | NC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NURSE LICENSURE | 125337 | 01 |
| Street Address |
300 E HOSPITAL ROAD DDEAMC, FAMILY PRACTICE CLINIC, 2ND FLOOR |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30905-5650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366492209 | Marc S Husid | Psychiatry & Neurology | 300 E Hospital Road, Neuroscience and Rehab Center Room 12c 12, Fort Gordon, GA 30905 | 2006-05-11 |
| 1093129975 | Mary Young Truitt | Internal Medicine | 300 E Hospital Road, Transitional Internship, Ddeamc, Fort Gordon, GA 30905-5650 | 2014-06-18 |
| 1184852071 | Chris K Jensen | Emergency Medicine | 300 E Hospital Road, Fort Gordon, GA 30905 | 2009-06-30 |
| 1427174424 | Catherine Anne Yeager | Psychologist | 300 E Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5741 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053761908 | Elizabeth Michelle Sylvester | Registered Nurse | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2016-06-21 |
| 1386064053 | Gary Brunson | Registered Nurse | 300 Hospital Rd, Fort Gordon, GA 30905 | 2014-04-22 |
| 1801218862 | Latonya Collins | Registered Nurse | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2014-01-10 |
| 1992886220 | Kimberly Ann Oatman | Registered Nurse | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082119 | Jacqueline Roseann Bushell | Registered Nurse | 1245 Riverloch Way, Lawrenceville, GA 30043-4488 | 2020-10-27 |
| 1326665167 | Terri L Watkins | Registered Nurse | 2102 Cobblestone Blvd, Stockbridge, GA 30281-7328 | 2020-06-27 |
| 1376172528 | Kelli Tesler | Registered Nurse | 5505 Peachtree Dunwoody Rd Ste 200, Atlanta, GA 30342-1749 | 2020-04-08 |
| 1902435381 | Shaundra Renee Foree | Registered Nurse | 1730 Silver Way, Lithia Springs, GA 30122-3956 | 2020-04-07 |
| 1932735149 | Bhanmattie Anupa Motee | Registered Nurse | 1712 Castle Ct, Riverdale, GA 30296-2946 | 2020-03-19 |
| 1568097723 | Peace At Last Private Home Care LLC. | Registered Nurse | 5596 Mayfair Crossing Dr, Lithonia, GA 30038-1182 | 2020-03-09 |
| 1649812298 | Princess Mary Ibekwe-onwueme | Registered Nurse | 4875 China Berry Dr, Powder Springs, GA 30127-5661 | 2019-10-15 |
| 1184288730 | Allyson Blue | Registered Nurse | 7870 Waterlace Dr, Fairburn, GA 30213-4647 | 2019-04-30 |
| 1093270852 | Ivy R Harper | Registered Nurse | 3017 Katherine Valley Rd, Decatur, GA 30032-5826 | 2019-02-06 |
| 1699242990 | Ericka Francis | Registered Nurse | 2636 Martin Luther King Jr Dr Sw Ste 12&22, Atlanta, GA 30311-1634 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
| City | FORT GORDON |
| Zip Code | 30905 |
Please comment or provide details below to improve the information on MS. JACQUELINE D PLUMMER.
| 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.