MS. JACLYN ASHLEY ELLIOTT (NPI# 1881081636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881081636 |
| Entity Type | Individual |
| Full Name | MS. JACLYN ASHLEY ELLIOTT |
| Credential | PA-C |
| Practice Address |
Cherry Hospital 1401 West Ash Street Goldsboro NC 27530-1078 |
| Practice Telephone | 7248569145 |
| Mailing Telephone | 7248569145 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001007297 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | MA057528 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 25MP00363500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
CHERRY HOSPITAL 1401 WEST ASH STREET |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27530-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538161864 | Ignacio Nmi Cabezudo | General Practice | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2005-05-31 |
| 1497101497 | Anna Teal Steffan | Student in an Organized Health Care Education/Training Program | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2016-05-09 |
| 1770939993 | Keri D. Metcalf | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2016-05-06 |
| 1811362403 | Alice W Munyua | Nurse Practitioner | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2015-12-08 |
| 1801201991 | Gladys Bochere Matongo | Registered Nurse | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2014-06-26 |
| 1649680166 | Jonathan Gregory Napier | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2014-05-06 |
| 1629498282 | Brian Edward Moore Jr. | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash St, Goldsboro, NC 27512 | 2014-04-22 |
| 1205256294 | Jennifer Asheton Ingersoll | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2014-04-17 |
| 1255762696 | Desmina Ayodele Friday | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2013-12-11 |
| 1598003147 | Melissa N. Cruz | Nurse Practitioner | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2013-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689777 | A Fathers' Love Family Care Inc | Home Health | 213 N. Carolina St., Goldsboro, NC 27530 | 2018-05-16 |
| 1609274687 | Tiffany Leanne Farmer | Counselor | 1184 Us Hwy 13 South, Goldsboro, NC 27530 | 2014-12-08 |
| 1316369952 | Angela Brittingham | Counselor | 113 Sanderling Way, Goldsboro, NC 27530 | 2014-01-16 |
| 1831408996 | At Home Senior Services, Inc. | Home Health | 203 N. Jackson Street Office C, Goldsboro, NC 27530 | 2010-10-06 |
| 1699946301 | Professional Group Living,llc | Community/Behavioral Health | 122 S. Center Street, Goldsboro, NC 27530 | 2008-03-20 |
| 1225250814 | Asa Living, Inc | Clinic/Center | 1308 Ben Brewington Court, Goldsboro, NC 27530 | 2007-05-03 |
| 1790907368 | Tammy Jo Hood | Licensed Practical Nurse | 1700 East Ash Street St. 200, Goldsboro, NC 27530 | 2007-05-03 |
| 1558487421 | Alternative Care Treatments Systems, Inc | Community/Behavioral Health | 139-b Center Street, Goldsboro, NC 27530 | 2007-03-22 |
| 1831221050 | Matthew Gay Delbridge | Dentist | 206 West Ash St, Goldsboro, NC 27530 | 2007-03-12 |
| 1508998295 | Emeritus Corporation | Assisted Living Facility | 380 County Day Road, Goldsboro, NC 27530 | 2007-03-09 |
| Find all providers in zip 27530 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346784949 | Brenda A Scronce | Physician Assistant | 211 N Spence Ave, Goldsboro, NC 27534-2753 | 2016-12-15 |
| 1114383528 | Katlyn E Rhodes | Physician Assistant | 1506 Wayne Memorial Dr Ste D, Goldsboro, NC 27534-2202 | 2016-01-14 |
| 1093900466 | Diane Lancaster Mullins | Physician Assistant | 901 Beech St, Goldsboro, NC 27530-2922 | 2007-09-10 |
| 1346321759 | David Mcdonald Hinds | Physician Assistant | 2902 Central Heights Rd, Goldsboro, NC 27534-6513 | 2006-10-18 |
| 1962506246 | Teresa Jean Cochran | Physician Assistant | 1100 Parkway Dr Suite C, Goldsboro, NC 27534 | 2006-09-08 |
| 1104932433 | Sharon G. Crenshaw | Physician Assistant | 301 N Herman Street Box Cc, Goldsboro, NC 27530-1056 | 2006-08-21 |
| 1730709957 | Sarah Heminger | Physician Assistant | 104c Adair Dr, Goldsboro, NC 27530-4516 | 2020-04-17 |
| 1508417809 | Kaitlyn Jessica Shotwell | Physician Assistant | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2019-09-27 |
| 1861040230 | Aaron Stephen Peterson | Physician Assistant | 2600 Us Highway 70 W, Goldsboro, NC 27530-7779 | 2019-08-29 |
| 1104392588 | Kristina Main | Physician Assistant | 1402 Wayne Memorial Dr, Goldsboro, NC 27534-2235 | 2018-10-23 |
| Find all providers in GOLDSBORO | ||||
Please comment or provide details below to improve the information on MS. JACLYN ASHLEY ELLIOTT.
| 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.