DR. JACKLINE B NGALAME


Address: 4 Commerce Ln, Canton, NY 13617-3739
Phone: 3153868191

DR. JACKLINE B NGALAME (NPI# 1861869703) 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) 1861869703
Entity Type Individual
Full Name DR. JACKLINE B NGALAME
Other Name DR. JACKLINE B TABE -AYUK
Credential PMHNP
Practice Address 4 Commerce Ln
Canton
NY 13617-3739
Practice Telephone 3153868191
Practice Fax Number 3153861410
Mailing Telephone 3153868191
Mailing Fax Number 3153861410
Enumeration Date 2015-08-26
Last Update Date 2019-05-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
RN212748 GA Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN212748 GA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
402559 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4 COMMERCE LN
City CANTON
State NY
Zip Code 13617-3739

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467432765 United Cerebral Palsy Association of The North Country, Inc. Clinic/Center 4 Commerce Ln, Canton, NY 13617-3739 2006-01-20
1255962551 Isabelle Anne Young Nurse Practitioner 4 Commerce Ln, Canton, NY 13617-3739 2020-01-27
1326503988 Abby K Philbrick Dental Hygienist 4 Commerce Ln, Canton, NY 13617-3739 2019-02-07
1356858724 Donna Gokey Nurse Practitioner 4 Commerce Ln, Canton, NY 13617-3739 2018-01-06
1528596103 Shannon Leclair Dental Hygienist 4 Commerce Ln, Canton, NY 13617-3739 2017-05-26
1255868998 Jill Guiles Dental Hygienist 4 Commerce Ln, Canton, NY 13617-3739 2017-05-12
1700260221 Christine Couperus-mashewske Nurse Practitioner 4 Commerce Ln, Canton, NY 13617-3739 2015-07-14
1336521236 Miranda Groebler Nurse Practitioner 4 Commerce Ln, Canton, NY 13617-3739 2015-06-26
1316287378 Keri E. Caracciolo Dental Hygienist 4 Commerce Ln, Canton, NY 13617-3739 2013-02-27
1750620076 Olaifa V Turner Dentist 4 Commerce Ln, Canton, NY 13617-3739 2013-02-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700428802 Meagan Elizabeth Hogan Physician Assistant 6119 Us Highway Route 11, Canton, NY 13617 2019-10-10
1982251740 Wilma J. Blackmer Technician 1756 Cr 14, Canton, NY 13617 2019-08-26
1326525270 Kylie Broughal Physician Assistant 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 2018-07-24
1891299608 Sheena Teresa Smith Counselor 310 State Highway 310, Suite 1, Canton, NY 13617 2018-03-19
1972024594 Patrick James Sullivan Physician Assistant 6619 State Highway Route 11, Canton, NY 13617 2017-07-05
1225482763 Howard Orthotics and Prosthetics, LLC Prosthetic/Orthotic Supplier 6128 Us Highway11, Canton, NY 13617 2016-04-21
1831534452 Chin Hung Ho Dermatology 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 2013-05-09
1194061663 Sarah Prairie Counselor 80 State Hwy 310, Suite 1, Canton, NY 13617 2013-01-02
1679859094 Nathan Ellis Occupational Therapist 139 Outer State St. Rd, Canton, NY 13617 2011-10-31
1407139017 Julianne Rutley Occupational Therapist 139 Outer State Street Rd, Canton, NY 13617 2011-09-21
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922666866 Bright Minds Psychiatry,pllc Nurse Practitioner 575 Washington St Ste 1b, Canton, MA 02021-3011 2019-06-05
1366914970 Nancy Louise Bennett Nurse Practitioner 328 E Otto St, Canton, MS 39046-4324 2018-12-20
1790227544 Priscilla Anne Rice Nurse Practitioner 1271 Fulton Rd Nw, Canton, OH 44703-1463 2016-11-10
1306824784 Kathy E Green Nurse Practitioner 80 State St # 310, Canton, NY 13617-1026 2006-01-05
1053944298 Megen Yerman Nurse Practitioner 624 Market Ave N, Canton, OH 44702-1017 2020-02-17
1285279901 Grace Elizabeth Maxton Nurse Practitioner 4641 Fulton Dr Nw, Canton, OH 44718-2384 2019-11-18
1417502535 Tiffany Nichol Brown Nurse Practitioner 1223 Market Ave N, Canton, OH 44714-2603 2019-08-06
1568022051 Christopher Fogarty Nurse Practitioner 1320 Mercy Dr Nw, Canton, OH 44708-2614 2019-06-17
1184105223 Elizabeth Pfalzgraf Nurse Practitioner 919 2nd St Ne, Canton, OH 44704-1132 2018-08-27
1629556949 Judy Chava Nurse Practitioner 400 Tuscarawas St W, Canton, OH 44702 2018-07-30
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Competitor

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City CANTON
Zip Code 13617

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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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