SUSAN JANE EDWARDS


Address: 1318 Broadway St, Lubbock, TX 79401-3206
Phone: 8067652611

SUSAN JANE EDWARDS (NPI# 1851314587) 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) 1851314587
Entity Type Individual
Full Name SUSAN JANE EDWARDS
Credential WHNP
Practice Address 1318 Broadway St
Lubbock
TX 79401-3206
Mailing Address 1313 Broadway St
Suite 5
Lubbock
TX 79401-3277
Practice Telephone 8067652611
Mailing Telephone 8067652611
Enumeration Date 2006-07-25
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
537245 TX Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 1318 BROADWAY ST
City LUBBOCK
State TX
Zip Code 79401-3206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538133087 Wailong Don Lam Nurse Practitioner 1318 Broadway St, Lubbock, TX 79401-3206 2006-02-13
1841496791 D Ray Gifford Dentist 1318 Broadway St, Lubbock, TX 79401-3206 2007-06-26
1336162049 Janne Marjorie Lynch Dentist 1318 Broadway St, Lubbock, TX 79401-3206 2006-07-25
1487604674 Clint Edwin Chambers Surgery 1318 Broadway St, Lubbock, TX 79401-3206 2006-05-11
1154370211 Terry Wayne Nelson Optometrist 1318 Broadway St, Lubbock, TX 79401-3206 2006-05-08
1821057969 Norma Jean Pope Urology 1318 Broadway St, Lubbock, TX 79401-3206 2006-03-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740688837 Cody Painter Student in an Organized Health Care Education/Training Program 43021 6th and Boston, Lubbock, TX 79401 2014-12-05
1730412511 Chiara Eberhardt Counselor 1614 Ave K, Lubbock, TX 79401 2009-09-11
1528265535 City of Lubbock Clinic/Center 80618th Street, Lubbock, TX 79401 2007-07-02
1184784084 Cc Home Health of Lubbock LLC Technician 2118 Broadway Ave, Lubbock, TX 79401 2006-12-11
1003997768 Charles Hudson Family Medicine Concord Medical Group, 1602 Avenue Q, Lubbock, TX 79401 2006-10-18
1003904376 Thi of Texas At Lubbock II, LLC Skilled Nursing Facility 1401 9th Street, Lubbock, TX 79401 2006-10-11
1174514681 United Supermarkets LLC Pharmacy 1610 5th St, Lubbock, TX 79401 2005-11-03
1669470332 Jose A Suarez Internal Medicine 1655 Main St Ste 201, Lubbock, TX 79401 2005-07-07
1225696362 Heather Leigh Robertson Dietitian, Registered 1628 19th St, Lubbock, TX 79401 2019-06-04
1912411091 Josi Gwin Speech-Language Pathologist 1628 19th St, Lubbock, TX 79401 2017-11-28
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538247408 Rita Sanchez Rodriguez Nurse Practitioner 3405 22nd St Ste 300, Lubbock, TX 79410-1305 2006-11-01
1134175888 Muriel Ann Henneman Nurse Practitioner 5815 76th St, #14 Briercroft, Lubbock, TX 79424-1721 2006-05-25
1407838998 Mary Patrice Elmore Nurse Practitioner 808 Joliet Ave Unit 110, Lubbock, TX 79415-1148 2005-11-18
1639160989 Marie Lenore Hart Nurse Practitioner 2102 Oxford Ave, Lubbock, TX 79410-1131 2005-11-03
1770993420 Sandra Denise Eastling Nurse Practitioner 301 40th St, Lubbock, TX 79404-2746 2014-05-03
1750678132 Shirley Don Leblanc Nurse Practitioner 1313 Broadway Ste 5, Lubbock, TX 79401-3209 2011-07-06
1861697104 Christine Nichole Stuart Nurse Practitioner 301 40th St, Lubbock, TX 79404-2746 2007-06-18
1679654776 Shirley L Wetsel Nurse Practitioner 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 2006-10-17
1669418414 Lana A Chambers Nurse Practitioner 3601 4th St, Suite 3b100, Lubbock, TX 79430-8340 2006-06-21
1487690236 Mia Latham Nurse Practitioner 3601 4th St, Suite 3b100, Lubbock, TX 79430-0002 2006-06-21
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Competitor

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City LUBBOCK
Zip Code 79401

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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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