JILL CAROL JACQUES (NPI# 1891340444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891340444 |
| Entity Type | Individual |
| Full Name | JILL CAROL JACQUES |
| Practice Address |
7542 Brevard St Navarre FL 32566-6650 |
| Practice Telephone | 8452342863 |
| Mailing Telephone | 8452342863 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
7542 BREVARD ST |
| City | NAVARRE |
| State | FL |
| Zip Code | 32566-6650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629623269 | Wayne Lynn Barger | Technician | 7542 Brevard St, Navarre, FL 32566-6650 | 2019-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639795347 | Carole Anne Basel | Developmental Therapist | Emerald Coast Behavior Inc, 8418 E Bay Blvd, Navarre, FL 32566 | 2020-06-18 |
| 1639793276 | Holley-navarre Pharmacy & Gifts | Pharmacy | 8440 Nevada St., Navarre, FL 32566 | 2020-05-29 |
| 1144875154 | Rhonda C Brousseau | Technician | 3115 Holley Point Road, Navarre, FL 32566 | 2019-08-06 |
| 1710334784 | Earnestine Carswell | Counselor | 7552 Navarre Pkwy Unit 24, Navarre, FL 32566 | 2016-05-19 |
| 1912383100 | Elsa L Konkolics | Nurse Practitioner | 220 Navarre Pkwy, Navarre, FL 32566 | 2015-08-11 |
| 1457790875 | Caige Carter Chapman | Military Health Care Provider | 1935 Jo Tam Lane, Navarre, FL 32566 | 2013-06-19 |
| 1891046785 | Tamara L Fernald | Massage Therapist | 1796 Navarre Sound Cir., Navarre, FL 32566 | 2012-10-02 |
| 1669737383 | Kelly Anne Blackburn | Occupational Therapist | 2287 Meadow Mist Ct, Navarre, FL 32566 | 2012-07-09 |
| 1568603702 | First Class Md, Pa | Clinic/Center | 7552 Navarre Parkway, Suite 5, Navarre, FL 32566 | 2009-03-18 |
| 1780806596 | Elizabeth Gazzola Brazeau | Occupational Therapist | 7347 Brewster Street, Navarre, FL 32566 | 2007-05-02 |
| Find all providers in zip 32566 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629623269 | Wayne Lynn Barger | Technician | 7542 Brevard St, Navarre, FL 32566-6650 | 2019-08-08 |
| 1144875154 | Rhonda C Brousseau | Technician | 3115 Holley Point Road, Navarre, FL 32566 | 2019-08-06 |
| 1770138901 | Malerie Shelton | Technician | 2518 Bluewater Dr, Navarre, FL 32566-2511 | 2019-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388801 | Tara Danielle Burgett | Technician | 6437 Maddox Rd, Milton, FL 32570-6327 | 2020-08-26 |
| 1932711678 | Julie Jayne Christofferson | Technician | 4009 Deerwood Cir, Pace, FL 32571-1108 | 2020-08-22 |
| 1386252062 | Rosa M Stephens | Technician | 6002 Vel St, Wimauma, FL 33598-3021 | 2020-07-17 |
| 1487279121 | Michelle Hill | Technician | 75 N Gulf Ave, Crystal River, FL 34429-7611 | 2020-06-09 |
| 1487278628 | Marcia Marie Long | Technician | 454 Georgetown Shortcut Rd, Crescent City, FL 32112-4504 | 2020-06-03 |
| 1740802289 | Anna Marie Cruttenden | Technician | 4336 Sablan Ln, Milton, FL 32583-2470 | 2020-05-06 |
| 1619597507 | Lula Curry | Technician | 106 W Jersey Ave, Brandon, FL 33510-3130 | 2020-04-21 |
| 1447879721 | Bretton Hill | Technician | 1227 Rolling Stone Run, Odessa, FL 33556-6040 | 2020-04-16 |
| 1770119653 | Stephanie J Crenshaw | Technician | 2154 Waseca Ln, Leesburg, FL 34748-3059 | 2020-03-23 |
| 1770118259 | Tatiyana Anisimova | Technician | 2605 Casa Dr, New Port Richey, FL 34655-2235 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
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| 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.