MRS. JUDITH JILL BOWLING JAGGERS (NPI# 1700213105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700213105 |
| Entity Type | Individual |
| Full Name | MRS. JUDITH JILL BOWLING JAGGERS |
| Other Name | JUDITH JILL BOWLING JOHNSON |
| Credential | NP-C |
| Practice Address |
211 Ky 59 Vanceburg KY 41179 |
| Mailing Address |
Po Box 550 Vanceburg KY 41179-0550 |
| Practice Telephone | 6067963029 |
| Mailing Telephone | 6067963029 |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1101025 | KY | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 3008290 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3008290 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0113708 | 05 | |
| KY | 7100277060 | 05 |
| Street Address |
211 KY 59 |
| City | VANCEBURG |
| State | KY |
| Zip Code | 41179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157815 | Ramon L Barcelona | Family Medicine | 211 Ky 59, Vanceburg, KY 41179 | 2005-07-11 |
| 1881158434 | Nikki Lynn Moore | Nurse Practitioner | 211 Ky 59, Vanceburg, KY 41179-7647 | 2019-01-29 |
| 1790088987 | Terrilee Hainline | Nurse Practitioner | 211 Ky 59, Vanceburg, KY 41179-7647 | 2010-12-10 |
| 1699905273 | Kacy Cluxton | Dietitian, Registered | 211 Ky 59, Vanceburg, KY 41179 | 2009-07-17 |
| 1831326305 | Emily Hughes | Dentist | 211 Ky 59, Vanceburg, KY 41179-7647 | 2009-06-11 |
| 1043336506 | Lewis County Primary Care Center, Inc | Clinic/Center | 211 Ky 59, Vanceburg, KY 41179-7647 | 2007-03-22 |
| 1659421907 | Ronald D Mays | Dentist | 211 Ky 59, Vanceburg, KY 41179-7647 | 2007-01-11 |
| 1487766614 | Lewis County Primary Care Center Pharmacy | Pharmacy | 211 Ky 59, Vanceburg, KY 41179-0550 | 2006-09-01 |
| 1114936192 | Kelly G Moss | Family Medicine | 211 Ky 59, Vanceburg, KY 41179-7647 | 2006-08-07 |
| 1164442463 | Christine C Mckain | Emergency Medicine | 211 Ky 59, Vanceburg, KY 41179-7647 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033731278 | Seth Carroll | Pharmacist | Lewis County Primary Care Center, 211 Ky 59, Vanceburg, KY 41179 | 2020-05-11 |
| 1326699430 | Jackie Kelley | Technician | 19750 Ky 59, Vanceburg, KY 41179 | 2019-09-20 |
| 1487092862 | Portsmouth Emergency Ambulance Service Inc | Ambulance | 1006 Fairlane Drive, Vanceburg, KY 41179 | 2013-06-07 |
| 1740443050 | Glenda J Gayheart | Early Intervention Provider Agency | 8385 E Ky8, Vanceburg, KY 41179 | 2008-07-07 |
| 1568651016 | John D. O'cull Dentistry P.s.c. | Dentist | Rural Route 3037, Vanceburg, KY 41179 | 2007-10-22 |
| 1225237472 | Mary K. Mcclurg | Case Manager/Care Coordinator | Aa Highway, Vanceburg, KY 41179 | 2007-07-17 |
| 1295952604 | Lewis County Health Dept | Public Health or Welfare | 185 Commercial Drive, Lewis County Health Department, Vanceburg, KY 41179 | 2007-04-19 |
| 1982749032 | John D O'cull | Dentist | Route 3037, Vanceburg, KY 41179 | 2007-02-20 |
| 1275681934 | Martha L Parker | Dietitian, Registered | Rt 3 Box 31, Vanceburg, KY 41179 | 2007-01-08 |
| 1750320446 | Family Medical Center | Family Medicine | Hc 75 Box 1005, Vanceburg, KY 41179 | 2006-06-06 |
| Find all providers in zip 41179 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347476 | Lee Ann Parker | Nurse Practitioner | 3426 Crooked Creek Rd, Vanceburg, KY 41179-7474 | 2020-05-10 |
| 1881158434 | Nikki Lynn Moore | Nurse Practitioner | 211 Ky 59, Vanceburg, KY 41179-7647 | 2019-01-29 |
| 1194981969 | Arica Nicole Donini | Nurse Practitioner | 207 Plummers Ln, Vanceburg, KY 41179-7683 | 2008-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
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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.