JACLYN VINAGRE (NPI# 1558993386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558993386 |
| Entity Type | Individual |
| Full Name | JACLYN VINAGRE |
| Credential | APN |
| Practice Address |
208 Bunn Dr Princeton NJ 08540-2851 |
| Practice Telephone | 2013597557 |
| Mailing Telephone | 2013597557 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ01002500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
208 BUNN DR |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407810401 | Beth A Hellstern | Physician Assistant | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2006-04-14 |
| 1154939064 | Kevin Liebmann | Nurse Practitioner | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2020-07-16 |
| 1932663713 | Anne Funke | Nurse Practitioner | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2019-01-26 |
| 1467966523 | Kristin Langan | Family Medicine | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2017-11-28 |
| 1609395193 | Beena G. Mahtani | Nurse Practitioner | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2017-09-15 |
| 1508381708 | Mona M Fawzy | Physician Assistant | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2017-08-08 |
| 1750838470 | Gita Roy | Physician Assistant | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2016-09-11 |
| 1922459601 | Kelly Sprague Bell | Physician Assistant | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2016-06-24 |
| 1205849981 | Mark A Wernham | Physician Assistant | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2006-08-14 |
| 1235195157 | Martha E Funkhouser | Dermatology | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2006-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
| Find all providers in zip 08540 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452800 | Beverly Christine Young | Nurse Practitioner | 608 New Hope Rd Ste 8, Princeton, WV 24740-2287 | 2020-09-20 |
| 1699313916 | Alla Hodges | Nurse Practitioner | 1507 Jonathan Ct, Princeton, NJ 08540-9565 | 2019-12-17 |
| 1760027692 | Florence J Choge | Nurse Practitioner | 3626 Route 1, Princeton Wound Care Center, Princeton, NJ 08450-5922 | 2019-11-14 |
| 1538701313 | Kanan H. Bhatt | Nurse Practitioner | 29 Rutgers Ln, Princeton, NJ 08540-7934 | 2019-10-12 |
| 1255994950 | Alicia Arkell | Nurse Practitioner | 515 Mercer St, Princeton, WV 24740-3109 | 2019-04-17 |
| 1639681265 | Melissa S Mclain | Nurse Practitioner | 530 Park Ave E Ste 207, Princeton, IL 61356-3902 | 2017-11-05 |
| 1124538830 | Shandalyn Ann Cerda | Nurse Practitioner | 321 Timbercreek Ct, Princeton, TX 75407-5738 | 2017-10-08 |
| 1790092195 | Sarah Megan Spencer | Nurse Practitioner | 402 East Dr, Princeton, WV 24740 | 2010-09-07 |
| 1043443229 | Lynn Marie Calvert | Nurse Practitioner | 311 E Princeton Dr, Princeton, TX 75407-9008 | 2009-09-03 |
| 1275757619 | Sara T Ingraffia | Nurse Practitioner | Princeton University Health Serv Mccosh Health Ctr, Washington Road, Princeton, NJ 08544-0001 | 2007-04-13 |
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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.