Jacqueline D Johnson (NPI# 1730578121, PAC ID# 7618292772) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1730578121 |
| PAC ID by PECOS | 7618292772 |
| Professional Enrollment ID | I20150211002441 |
| Full Name | Jacqueline D Johnson |
| Organization Legal Name | QUANTUM HEALTHCARE ASSOCIATES OF CUMBERLAND, INC |
| Address |
103 Kingdom Come Dr Cumberland KY 40823-1590 |
| Phone Number | 6065895514 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0345403424 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180029 | HAZARD ARH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 103 Kingdom Come Dr, Cumberland, KY 40823-1590 | 6065895514 | QUANTUM HEALTHCARE ASSOCIATES OF CUMBERLAND, INC |
| 210 Black Gold Blvd, Suite 106, Hazard, KY 41701-2620 | 6064360711 | QUANTUM HEALTH CARE ASSOCIATES PSC |
| Organization Legal Name | QUANTUM HEALTHCARE ASSOCIATES OF CUMBERLAND, INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett M Muha | Family Medicine | Quantum Healthcare Associates of Cumberland, Inc | 103 Kingdom Come Dr, Cumberland, KY 40823-1590 |
| Ben W Back | Physician Assistant | Quantum Healthcare Associates of Cumberland, Inc | 103 Kingdom Come Dr, Cumberland, KY 40823-1590 |
| Christopher D Lewis | Nurse Practitioner | Quantum Healthcare Associates of Cumberland, Inc | 103 Kingdom Come Dr, Cumberland, KY 40823-1590 |
| Darian K Ratliff | Internal Medicine | Quantum Healthcare Associates of Cumberland, Inc | 103 Kingdom Come Dr, Cumberland, KY 40823-1590 |
| Melissa C Cornett | Nurse Practitioner | Quantum Healthcare Associates of Cumberland, Inc | 103 Kingdom Come Dr, Cumberland, KY 40823-1590 |
| Michael W Raichel | Family Medicine | Quantum Healthcare Associates of Cumberland, Inc | 103 Kingdom Come Dr, Cumberland, KY 40823-1590 |
| Street Address |
103 KINGDOM COME DR |
| City | CUMBERLAND |
| State | KY |
| Zip | 40823-1590 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett M Muha | Family Medicine | Quantum Healthcare Associates of Cumberland, Inc | 103 Kingdom Come Dr, Cumberland, KY 40823-1590 |
| Ben W Back | Physician Assistant | Quantum Healthcare Associates of Cumberland, Inc | 103 Kingdom Come Dr, Cumberland, KY 40823-1590 |
| Christopher D Lewis | Nurse Practitioner | Quantum Healthcare Associates of Cumberland, Inc | 103 Kingdom Come Dr, Cumberland, KY 40823-1590 |
| Darian K Ratliff | Internal Medicine | Quantum Healthcare Associates of Cumberland, Inc | 103 Kingdom Come Dr, Cumberland, KY 40823-1590 |
| Melissa C Cornett | Nurse Practitioner | Quantum Healthcare Associates of Cumberland, Inc | 103 Kingdom Come Dr, Cumberland, KY 40823-1590 |
| Michael W Raichel | Family Medicine | Quantum Healthcare Associates of Cumberland, Inc | 103 Kingdom Come Dr, Cumberland, KY 40823-1590 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianna D Cornett | Nurse Practitioner | 902 E Main St, Cumberland, KY 40823-1714 | |
| Carmen Jones | Clinical Social Worker | Mountain Comprehensive Health Corporation | 1620 E Main St, Cumberland, KY 40823-1837 |
| Kyla G. Stanley | Nurse Practitioner | Mountain Comprehensive Health Corporation | 1620 E Main St, Cumberland, KY 40823-1837 |
| Tracey Nycole Blakley | Nurse Practitioner | Mountain Comprehensive Health Corporation | 1620 E Main St, Cumberland, KY 40823-1837 |
| Crystal Lee Jones | Nurse Practitioner | Mountain Comprehensive Health Corporation | 1620 E Main St, Cumberland, KY 40823-1837 |
| Jonathan A Hatton | Family Medicine | Mountain Comprehensive Health Corporation | 1620 E Main St, Cumberland, KY 40823-1837 |
| Van S Breeding | Family Medicine | Mountain Comprehensive Health Corporation | 1620 E Main St, Cumberland, KY 40823-1837 |
| Christa Addington | Nurse Practitioner | Mountain Comprehensive Health Corporation | 1620 E Main St, Cumberland, KY 40823-1837 |
| Shanley Brooke Shelburne | Physician Assistant | Appalachian Heart Center Psc | 18880 N Us, Suite 119, Cumberland, KY 40823-8106 |
| Jose M Echeverria | Internal Medicine | Appalachian Regional Healthcare Inc. | 18880 N Us Hwy 119, Cumberland, KY 40823-8106 |
| Find all physicians in zip 40823 | |||
| City | CUMBERLAND |
| Zip Code | 40823 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CUMBERLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jacqueline D Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.