JACQUELINE SUE MUNCY


Address: 5256 E 65th St, Indianapolis, IN 46220-4819
Phone: 3174290120

JACQUELINE SUE MUNCY (NPI# 1629536297) 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) 1629536297
Entity Type Individual
Full Name JACQUELINE SUE MUNCY
Practice Address 5256 E 65th St
Indianapolis
IN 46220-4819
Mailing Address 1085 Kings Mill Rd Apt 433
Greenwood
IN 46142-4915
Practice Telephone 3174290120
Enumeration Date 2019-03-03
Last Update Date 2019-05-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 71008811B IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5256 E 65TH ST
City INDIANAPOLIS
State IN
Zip Code 46220-4819

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215908538 Tammy Michelle Crace Browning Physician Assistant 5256 E 65th St, Indianapolis, IN 46220-4819 2006-01-27
1295200574 Meredith Susanne Kelly Nurse Practitioner 5256 E 65th St, Indianapolis, IN 46220-4819 2018-10-12
1518449297 Victoria Crawford Nurse Practitioner 5256 E 65th St, Indianapolis, IN 46220-4819 2018-08-30
1326539966 Wendy Shokes Nurse Practitioner 5256 E 65th St, Indianapolis, IN 46220-4819 2018-05-18
1124556493 Teresa Ann Mcgrath Nurse Practitioner 5256 E 65th St, Indianapolis, IN 46220-4819 2017-05-31
1255878278 Emily Tedrow Nurse Practitioner 5256 E 65th St, Indianapolis, IN 46220-4819 2017-01-28
1548596372 Grace Divine, LLC Family Medicine 5256 E 65th St, Indianapolis, IN 46220-4819 2009-10-29
1881820249 Olivia Helitha Cronin Family Medicine 5256 E 65th St, Indianapolis, IN 46220-4819 2009-05-29
1124252903 Erin Michelle Garrett Nurse Practitioner 5256 E 65th St, Indianapolis, IN 46220-4819 2009-05-08

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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

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Competitor

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City INDIANAPOLIS
Zip Code 46220

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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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