JACQUELINE GAMBLE WILLIAMS (NPI# 1790986693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790986693 |
| Entity Type | Individual |
| Full Name | JACQUELINE GAMBLE WILLIAMS |
| Credential | ASSESSMENT SPECIALIS |
| Practice Address |
390 Park St Jacksonville FL 32204-2342 |
| Mailing Address |
2255 Nettlebrook St S Jacksonville FL 32218-1007 |
| Practice Telephone | 9048996300 |
| Mailing Telephone | 9047146462 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588270458 | Jacqueline Williams | Nurse Practitioner | 7931 Brock Bridge Rd, Jessup, MD 20794-9704 | 2020-09-16 |
| 1265992515 | Jacqueline Chanthay Williams | Licensed Practical Nurse | 1323 E Ash St, Altus, OK 73521-2908 | 2019-03-22 |
| 1205320959 | Jacqueline Denise Williams | Registered Nurse | 409 N Pacific Coast Hwy Ste 508, Redondo Beach, CA 90277-6853 | 2018-06-17 |
| 1346758745 | Jacqueline Kay Williams | Dietitian, Registered | 15008 Sendero Ln, Waco, TX 76712-7570 | 2018-01-19 |
| 1659815603 | Jacqueline Renee Williams | Nurse Practitioner | 765 Belli Dr Apt 2, Reno, NV 89502-2370 | 2016-12-10 |
| 1841648136 | Jacqueline Larae Williams | Counselor | 40 E 9th St Apt 1907, Chicago, IL 60605-2136 | 2016-05-27 |
| 1053721365 | Jacqueline Williams | Licensed Practical Nurse | 41 Broadlawn Dr, Central Islip, NY 11722-4616 | 2014-05-08 |
| 1336586791 | Jacqueline Marie Williams | Physical Therapist | 3690 Ingleside Rd, Shaker Heights, OH 44122-5056 | 2013-05-24 |
| 1801195581 | Jacqueline Williams | Social Worker | 9500 Medical Center Dr Ste 230b, Largo, MD 20774-3707 | 2011-03-21 |
| 1316160005 | Jacqueline Yvonne Williams | Social Worker | 3800 Big Bend Trl, Polk City, FL 33868-3001 | 2007-04-11 |
| Street Address |
390 PARK ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841687639 | Kimberly Tisha Smith | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2015-04-20 |
| 1659541654 | Raymond Martin Pomm | Psychiatry & Neurology | 390 Park St, Jacksonville, FL 32204-2342 | 2008-03-05 |
| 1003011545 | Gloria Hanania | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2007-06-15 |
| 1700097888 | River Region Human Services | Community Based Residential Treatment Facility, Mental Illness | 390 Park St, Jacksonville, FL 32204-2342 | 2007-05-24 |
| 1811106149 | Melinda Tucker | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2007-05-22 |
| 1841407574 | Joseph Ethan Johnson | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2007-05-16 |
| 1942416649 | Robin Sue Spires | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2007-05-16 |
| 1588870208 | Talundria Prince | Counselor | 390 Park St, Jacksonville, FL 32204-2342 | 2007-05-16 |
| 1568507853 | River Region Human Services Inc | Community/Behavioral Health | 390 Park St, Jacksonville, FL 32204-2342 | 2007-02-21 |
| 1588686877 | Daphne T Hayes | Nurse Practitioner | 390 Park St, Jacksonville, FL 32204-2342 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514670 | William George Beasley Jr. | Counselor | 205 Sherwood Rd, Jacksonville, NC 28540-5534 | 2020-09-28 |
| 1881200053 | Sarah M Allen | Counselor | 307 Angelina St, Jacksonville, TX 75766-9212 | 2020-09-22 |
| 1265048797 | Victoria Payne | Counselor | 7848 Playpen Ct, Jacksonville, FL 32210-1420 | 2020-09-21 |
| 1982234100 | Sherree Smith | Counselor | 934 Lynchburg Dr, Jacksonville, NC 28546-4560 | 2020-01-16 |
| 1982266490 | Fernette R Hoag | Counselor | 3955 Riverside Ave Ste 211, Jacksonville, FL 32205-3312 | 2019-07-04 |
| 1942796347 | Gods House of Solomon | Counselor | 1709 Helena St, Jacksonville, FL 32208-3692 | 2018-07-09 |
| 1295223600 | Ronald North | Counselor | 4427 Emerson St, Jacksonville, FL 32207-4969 | 2018-05-01 |
| 1649768037 | Tiffany Angela Yarbough | Counselor | 4427 Emerson St # 4308, Jacksonville, FL 32207-4969 | 2018-05-01 |
| 1588160303 | Julie Margarita Smith | Counselor | 720 Seabrook Pkwy, Jacksonville, FL 32211-7153 | 2018-04-02 |
| 1689172587 | Rittie Ann Ragland | Counselor | 4720 S. Salisbury Rd Ste 103, Jacksonville, FL 32256-6101 | 2018-01-25 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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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.