TRACIE JEBOUR (NPI# 1750882155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750882155 |
| Entity Type | Individual |
| Full Name | TRACIE JEBOUR |
| Credential | APRN CNP |
| Practice Address |
3455 Mill Run Dr Ste 310 Hilliard OH 43026-9082 |
| Mailing Address |
631 N County Line Rd Sunbury OH 43074-8949 |
| Practice Telephone | 8333582036 |
| Mailing Telephone | 6143529205 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.022399 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 631 N County Line Rd, Sunbury, OH 430748949 | 6143529205 |
| Street Address |
3455 MILL RUN DR STE 310 |
| City | HILLIARD |
| State | OH |
| Zip Code | 43026-9082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164450474 | Lisa Scudder-marker | Nurse Practitioner | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2006-06-28 |
| 1851875892 | Anitra L Watkins - Bradley | Nurse Practitioner | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2018-09-15 |
| 1720584105 | Jennifer Yvonne Hough | Nurse Practitioner | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2018-04-04 |
| 1588175392 | Amy M Kukucka | Nurse Practitioner | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2017-10-19 |
| 1861929416 | Lisa A. Von Bargen | Nurse Practitioner | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2017-05-15 |
| 1821543943 | Molly Getz | Nurse Practitioner | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2016-08-18 |
| 1598124562 | Tiana Williams | Registered Nurse | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2016-02-18 |
| 1548679970 | Tamara Lynn Shipp | Nurse Practitioner | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2014-08-11 |
| 1568774800 | Rushyal Shyamraj | Internal Medicine | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2010-07-01 |
| 1831364587 | Kathryn Ann Cunin | Internal Medicine | 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | 2008-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728944 | Stephanie Shockey | Nurse Practitioner | 2371 Hilliard Rome Road, Hilliard, OH 43026 | 2020-07-27 |
| 1427690627 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 2377 Hilliard Rome Rd, Columbus, OH 43026 | 2019-10-09 |
| 1578115408 | 614 Chiropractic LLC | Chiropractor | 5250 Cemetery Road, Hilliard, OH 43026 | 2019-07-11 |
| 1417412073 | Samantha Marie Sech | Specialist/Technologist | 5493 Old Creek Ln, Hilliard, OH 43026 | 2019-02-07 |
| 1609352400 | Tina M Moy | Licensed Practical Nurse | 3605 Scarberry Dr, Hilliard, OH 43026 | 2018-07-14 |
| 1528560646 | Columbus One Anesthesia LLC | Anesthesiology | 4600 Leap Ct Ste 121, Hilliard, OH 43026 | 2018-03-05 |
| 1154837136 | Kathleen Heitkamp | Registered Nurse | 4674 Britton Parkway, Suite 2200, Hilliard, OH 43026 | 2017-12-28 |
| 1598281610 | Midpoint Associates, LLC | Non-emergency Medical Transport (VAN) | 8411 Morris Rd., Hilliard, OH 43026 | 2017-08-21 |
| 1841654555 | Jackie Palmer | Speech-Language Pathologist | 7825 Roberts Rd, Hilliard, OH 43026 | 2016-04-08 |
| 1639551161 | Elizabeth Benissan-messan | Physician Assistant | 3677 Scioto Darby Rd, Hilliard, OH 43026 | 2015-06-20 |
| Find all providers in zip 43026 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487289310 | Tamara Thomas | Nurse Practitioner | 3919 Berry Leaf Ln, Hilliard, OH 43026-3140 | 2020-03-11 |
| 1073005351 | Cara Daufeldt | Nurse Practitioner | 3958 Leap Rd Ste 101, Hilliard, OH 43026-3107 | 2018-06-03 |
| 1437650462 | Sandra Lee Osman | Nurse Practitioner | 3966 Brown Park Dr Ste D, Hilliard, OH 43026-1184 | 2018-02-25 |
| 1164950697 | Megan Spoltman | Nurse Practitioner | 4110 Railton St, Hilliard, OH 43026-1906 | 2017-05-29 |
| 1275889842 | Eric Raymond Trinter | Nurse Practitioner | 4961 Roberts Rd # 43026, Hilliard, OH 43026-8129 | 2012-08-01 |
| 1811201221 | Joan S Garner | Nurse Practitioner | 3667 Scioto Run Blvd, Hilliard, OH 43026-3019 | 2010-07-28 |
| 1356671127 | Kelly Cotrill | Nurse Practitioner | 4523 Cemetery Rd, Hilliard, OH 43026-1102 | 2009-12-30 |
| 1225218316 | Heidi Jean Bobek | Nurse Practitioner | 4225 Leppert Rd, Hilliard, OH 43026-7543 | 2007-11-06 |
| 1861475907 | Josephine Dee Brucia | Nurse Practitioner | 4961 Roberts Rd, Hilliard, OH 43026-8129 | 2005-11-22 |
| 1497737910 | Susan Urell Irvin | Nurse Practitioner | 551616 Us Highway 1, Hilliard, FL 32046-8281 | 2005-11-18 |
| Find all providers in HILLIARD | ||||
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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.