MISS DORIS MARIE CHANCE (NPI# 1861661506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861661506 |
Entity Type | Individual |
Full Name | MISS DORIS MARIE CHANCE |
Credential | PA |
Practice Address |
1760 Edgewood Ave W B Jacksonville FL 32208-7209 |
Practice Telephone | 9043588480 |
Mailing Telephone | 9043588480 |
Enumeration Date | 2008-02-27 |
Last Update Date | 2013-10-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 0110001235 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9104654 | FL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932482957 | Doris Chance | Case Manager/Care Coordinator | 308 W 4th St, Konawa, OK 74849-1612 | 2011-09-26 |
Street Address |
1760 EDGEWOOD AVE W B |
City | JACKSONVILLE |
State | FL |
Zip Code | 32208-7209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568426302 | Willie A Pennick | Family Medicine | 1760 Edgewood Ave W, Suite B, Jacksonville, FL 32208-7209 | 2006-04-17 |
1720444557 | Elite Ankle and Foot LLC | Podiatrist | 1760 Edgewood Ave W, Jacksonville, FL 32208-7209 | 2016-01-09 |
1699020446 | Fl Department of Health | Public Health or Welfare | 1760 Edgewood Ave W, Jacksonville, FL 32208-7209 | 2012-07-18 |
1205109410 | Danna Charlene Morris | Nurse Practitioner | 1760 Edgewood Ave W, Jacksonville, FL 32208-7209 | 2012-02-17 |
1730402975 | Dedrick Michelle Daniels | Podiatrist | 1760 Edgewood Ave W, Jacksonville, FL 32208-7209 | 2010-03-02 |
1215059829 | Linda Lou Tisdale | Nurse Practitioner | 1760 Edgewood Ave W, Jacksonville, FL 32208-7209 | 2007-04-04 |
1013006691 | Maria Susan Martinez | Social Worker | 1760 Edgewood Ave W, Jacksonville, FL 32208-7209 | 2006-10-12 |
1851345714 | Kenneth E Nixon | Family Medicine | 1760 Edgewood Ave W, Jacksonville, FL 32208-7209 | 2006-05-22 |
1811941677 | James L Gentry | Pediatrics | 1760 Edgewood Ave W, Jacksonville, FL 32208-7209 | 2006-05-19 |
1194789958 | Pennic, Wooten& Associates Family Medical Care Pa | Family Medicine | 1760 Edgewood Ave W, B, Jacksonville, FL 32208-7209 | 2006-04-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245845379 | Lameka Williams | Adult Companion | 6854 Cartier Cir, Jacksonville, FL 32208 | 2020-09-15 |
1386173722 | Danielle Mathews | Home Health | 6824 Barberie St., Jacksonville, FL 32208 | 2017-06-08 |
1063957520 | Crystal Tramaine Simmons | Licensed Practical Nurse | 3190 Sedona Trl, Jacksonville, FL 32208 | 2016-12-19 |
1508316084 | Melissa Angel | Emergency Medical Technician, Basic | 3701 Winton Drive, Jacksonville, FL 32208 | 2016-10-10 |
1093176828 | Stephanie Fears | Chore Provider | 5910 Droad St, Jacksonville, FL 32208 | 2016-03-07 |
1841676558 | Elizabeth Ann Miller | Social Worker | 1255 Lila Ave, Jacksonville, FL 32208 | 2015-08-04 |
1861877698 | Sara Castro | Counselor | 1110 Edgewood Ave West, Jacksonville, FL 32208 | 2015-07-22 |
1215352703 | Luther Quarles Iv | Family Medicine | 1760 Edgewood Ave W Ste A&b, Jacksonville, FL 32208 | 2014-02-20 |
1356776348 | Top of The Line Mobile Service | Durable Medical Equipment & Medical Supplies | 2252 4th Avenue, Jacksonville, FL 32208 | 2013-09-09 |
1437419124 | Carmelita Patrice Rowell | Specialist | 2255 Soutel Dr, Jacksonville, FL 32208 | 2012-05-29 |
Find all providers in zip 32208 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
1467935213 | Alexis Almonte | Physician Assistant | 655 W 8th St # C-3, Jacksonville, FL 32209-6511 | 2018-09-07 |
1053851535 | Luciana Oran | Physician Assistant | 4849 Florida Club Cir Apt 3104, Jacksonville, FL 32216-1089 | 2017-03-02 |
1699217463 | Ashley C Moyer | Physician Assistant | 5742 Booth Rd Ste A, Jacksonville, FL 32207-5982 | 2016-11-10 |
1437600889 | Lindsay Elizabeth Murrell | Physician Assistant | 14540 Old Saint Augustine Rd Ste 2599, Jacksonville, FL 32258-7420 | 2016-10-20 |
1992178719 | Sonila Musta-kina | Physician Assistant | 1633 Race Track Rd Ste 101, Jacksonville, FL 32259-3237 | 2015-11-02 |
1922409580 | Lindsey Beth Hollingsworth | Physician Assistant | 841 Prudential Dr Ste 1900, Jacksonville, FL 32207-8373 | 2014-09-12 |
1487905220 | Krystin Michelle Greene | Physician Assistant | 4085 University Blvd S Ste 3, Jacksonville, FL 32216-4362 | 2012-09-19 |
1790034296 | Gary Robertson | Physician Assistant | 12964 Winthrop Cove Dr, Jacksonville, FL 32224-7503 | 2012-08-30 |
1366711905 | Jeremiah Taejong Oh | Physician Assistant | 3d Battalion, 8th Marines Psc Box 20104, Camp Lejeune, Jacksonville, NC 28542-0104 | 2011-12-28 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32208 |
Please comment or provide details below to improve the information on MISS DORIS MARIE CHANCE.
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.