Jacqueline Hope Dubois, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

745561 Issued in NY

Practice address

23 W Main St
Corfu, NY 14036-9411

Phone

(585) 813-9157

NPI assigned

Jan 17, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1215401773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W MAIN ST",
            "city": "CORFU",
            "state": "NY",
            "postal_code": "140369411",
            "telephone_number": "585-813-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W MAIN ST",
            "city": "CORFU",
            "state": "NY",
            "postal_code": "140369411",
            "telephone_number": "585-813-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "JACQUELINE",
        "middle_name": "HOPE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "745561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Burling, R.P.H.
• Deanna Crawford, EMT-B
• Jessica Rose Dentinger, L.M.T.
• Jillian Erica Dibble, LPN
• Lindsey Ryan Dibble, OT R/L
• Darlene Carol Dylag, COTA
• Joan M Dylag, M.ED.
• Katherine Dylag, M.S.
• Wendy Lynn Edwards, RN
• Peggy Joan Feary-Pray

• All providers in Corfu, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.