TEQUILLA MONIQUE FORD


Address: 120 N Walnut St, Jefferson, TX 75657-1934
Phone: 9036656131

TEQUILLA MONIQUE FORD (NPI# 1821639626) 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) 1821639626
Entity Type Individual
Full Name TEQUILLA MONIQUE FORD
Practice Address 120 N Walnut St
Jefferson
TX 75657-1934
Mailing Address Po Box 901
Jefferson
TX 75657-0901
Practice Telephone 9036656131
Enumeration Date 2019-10-02
Last Update Date 2019-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
753541 TX Nursing Service Providers

Office Location

Street Address 120 N WALNUT ST
City JEFFERSON
State TX
Zip Code 75657-1934

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942255591 First In Pediatrics Home Health Care, Inc. Home Health 120 N Walnut St, Jefferson, TX 75657-1934 2006-05-23
1487273793 Cynthia Berniece Chappell Licensed Vocational Nurse 120 N Walnut St, Jefferson, TX 75657-1934 2020-04-16
1912526237 Linda Kay Humber Licensed Vocational Nurse 120 N Walnut St, Jefferson, TX 75657-1934 2020-04-16
1902449986 Cally Elizabeth Eans Licensed Vocational Nurse 120 N Walnut St, Jefferson, TX 75657-1934 2019-10-23
1003457862 Amiee Darlene Burks Elam Licensed Vocational Nurse 120 N Walnut St, Jefferson, TX 75657-1934 2019-10-03
1376184473 Brandi Shardale Mccuin Registered Nurse 120 N Walnut St, Jefferson, TX 75657-1934 2019-10-01
1952942054 Dedria Mechel Hightower Licensed Vocational Nurse 120 N Walnut St, Jefferson, TX 75657-1934 2019-10-01
1790336436 Ariel Anastashia Malone Licensed Vocational Nurse 120 N Walnut St, Jefferson, TX 75657-1934 2019-09-24
1003467739 Maci Danielle Sikes Registered Nurse 120 N Walnut St, Jefferson, TX 75657-1934 2019-09-24
1457902181 Wesley Mark Benson Licensed Vocational Nurse 120 N Walnut St, Jefferson, TX 75657-1934 2019-09-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780131995 Kimberly George Case Manager/Care Coordinator 261 Ma County Road 3430, Jefferson, TX 75657 2016-09-06
1124116561 The Med Shop Durable Medical Equipment & Medical Supplies 110 N . Walnut, Jefferson, TX 75657 2006-10-11
1487644068 Denise Sepulvado Norris Occupational Therapist 1404 Marion County Road 3509, Jefferson, TX 75657 2005-10-25
1700870185 Robin Lynne Gale Nurse Practitioner 219 N Polk St, Jefferson, TX 75657 2005-08-31
1700072477 James Leo Carroll Physical Therapy Assistant 339 Tangiers, Jefferson, TX 75657-0598 2007-09-17
1952397739 Pine Hill Nursing and Rehabilitation Lp Skilled Nursing Facility 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 2005-09-27
1124495486 Fannin County Hospital Authority Skilled Nursing Facility 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 2015-08-21
1598910291 Jefferson I Enterprises, LLC Skilled Nursing Facility 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 2008-11-21
1558404293 Jefferson Isd Local Education Agency (LEA) 1600 Martin Luther King Dr, Jefferson, TX 75657-1061 2007-02-14
1730352667 Demetria Rena Parker Nurse's Aide 506 E Harrison St, Jefferson, TX 75657-1106 2008-04-11
Find all providers in zip 75657

Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447750948 Lola Elliott Registered Nurse 129 Berea 7, Jefferson, TX 75657-6529 2018-02-20
1003328477 Karina Gosdeck Registered Nurse N5595 Popp Rd, Jefferson, WI 53549-9647 2017-10-25
1134665268 Pamela Jean Newcomb Registered Nurse N3197 County Rd N, Jefferson, WI 53549-9734 2017-01-12
1275883373 Amanda Fay Derosa Registered Nurse 134 W Satin St, Jefferson, OH 44047-1339 2012-09-16
1073716783 Loretta L Lingo Registered Nurse 1863 Forman Rd, Jefferson, OH 44047-9713 2007-06-08
1659599181 Karen L. Dickson Registered Nurse 32 E Pine St, Jefferson, OH 44047-1118 2007-04-22
1336362326 Mary B Palm Registered Nurse 145 S Chestnut St, Jefferson, OH 44047-1312 2007-04-10
1720119571 Marsha Ann Hunter Registered Nurse 157 W Jefferson St, Jefferson, OH 44047-1047 2007-03-07
1447216551 Diane Mary Voelker Registered Nurse 224 Connelly D R, Jefferson, WI 53549 2006-04-26
1063477065 Cynthia Lynn Miller Registered Nurse W4949 Streim Lane, Jefferson, WI 53549 2006-04-20
Find all providers in JEFFERSON

Competitor

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City JEFFERSON
Zip Code 75657

Improve Information

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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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