Jacquline Nwufoh

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

171M00000X Issued in LA

Practice address

1610 Jackson St
Monroe, LA 71202-2030

Phone

(318) 512-2857

Fax

(318) 324-9647

NPI assigned

Jun 3, 2015

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Heights

  • Community/Behavioral Health Agency
  • Monroe, LA
  • NPI 1457731366
  NPD (past) Authorized official

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1356721468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 ALBERT ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015003",
            "telephone_number": "318-512-2857",
            "fax_number": "318-324-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022030",
            "telephone_number": "318-512-2857",
            "fax_number": "318-324-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWUFOH",
        "first_name": "JACQULINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "171M00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dena M Novak, ACNP
• Jaylen Nunnery
• Morgan M Nuss
• Laquisha Nute
• Basil Nwufoh
• Joseph N Nwufoh
• Meade P O'Boyle, M.D.
• Daniel O'Brien, CRNA
• Caitlyn O'Daniel
• Richard M O'Donovan, M.D.

• Case Manager/Care Coordinator in Monroe, LA
• Providers in Monroe, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.