JACKIE CHERRY


Address: 900 W Magnolia Ave, Suite 201, Fort Worth, TX 76104-8517
Phone: 8179216166

JACKIE CHERRY (NPI# 1750821872) 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) 1750821872
Entity Type Individual
Full Name JACKIE CHERRY
Practice Address 900 W Magnolia Ave
Suite 201
Fort Worth
TX 76104-8517
Practice Telephone 8179216166
Practice Fax Number 8179219594
Mailing Telephone 8179216166
Mailing Fax Number 8179219594
Enumeration Date 2017-03-08
Last Update Date 2017-03-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP133507 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 900 W MAGNOLIA AVE
SUITE 201
City FORT WORTH
State TX
Zip Code 76104-8517

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780675611 Clifton H Beasley Jr. Ophthalmology 900 W Magnolia Ave, Suite 202, Fort Worth, TX 76104-8517 2005-10-31
1821469107 Rafaella Izar Wallace Nurse Practitioner 900 W Magnolia Ave, Ste 100, Fort Worth, TX 76104-8517 2015-10-13
1235508250 Meagan Collins Nurse Practitioner 900 W Magnolia Ave, Fort Worth, TX 76104-8517 2015-09-21
1184038317 Shelly Smith Chaudhari Nutritionist 900 W Magnolia Ave, Fort Worth, TX 76104-8517 2014-06-16
1851720973 Meghan A Freed Nurse Practitioner 900 W Magnolia Ave, Ste 100, Fort Worth, TX 76104-8517 2013-11-08
1548604291 Margaret Cecere Holland Family Medicine 900 W Magnolia Ave, Fort Worth, TX 76104-8517 2013-04-24
1104165083 Amy Lynn Stevens Nurse Practitioner 900 W Magnolia Ave, Ste 100, Fort Worth, TX 76104-8517 2013-02-12
1124363460 Kelly Tripplehorn Nurse Practitioner 900 W Magnolia Ave, Ste 100, Fort Worth, TX 76104-8517 2012-11-27
1326316019 Susan Deering Clinical Nurse Specialist 900 W Magnolia Ave, Ste 100, Fort Worth, TX 76104-8517 2011-12-08
1104110956 Jason David Troha Nurse Practitioner 900 W Magnolia Ave, Suite 201, Fort Worth, TX 76104-8517 2011-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417556341 Sarah R Tabor Nurse Practitioner 4819 El Campo Ave, Fort Worth, TX 76107-4917 2020-10-21
1336747963 Thomas Liles Nurse Practitioner 4 Carlson Ct, Fort Worth, TX 76119-5901 2020-10-15
1518565597 Khyatiben Harsh Parikh Nurse Practitioner 8121 Belgian Blue Ct, Fort Worth, TX 76131-1734 2020-10-13
1225645906 Manju Karki K C Nurse Practitioner 4812 Meadow Falls Dr # A, Fort Worth, TX 76244-2308 2020-09-28
1497361778 Mulikat Dossou Nurse Practitioner 8024 Valley Crest Dr, Fort Worth, TX 76120-5651 2020-09-22
1275148793 Bianca Adrianna Agnello Nurse Practitioner 8465 Boat Club Rd Ste 115, Fort Worth, TX 76179-3676 2020-09-11
1356955363 Alba C. Rivas Nurse Practitioner 6958 Legato Ln, Fort Worth, TX 76134-3727 2020-09-07
1043824139 Traci D Huff Nurse Practitioner 7121 Sundance Ln, Fort Worth, TX 76179-2533 2020-09-04
1669085437 Ryan Bourgeois Nurse Practitioner 2917 Crocket Street, Fort Worth, TX 76107 2020-08-31
1619589108 Megan King Nurse Practitioner 9734 N Beach St Ste 100, Fort Worth, TX 76244-6185 2020-08-18
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Competitor

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City FORT WORTH
Zip Code 76104

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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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