Nurse Source Corporation

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

NURSE SOURCE CORPORATION

Practice address

85 N 4TH St
Macclenny, FL 32063-2109

Phone

(904) 259-2935

NPI assigned

Sep 24, 2013

Last updated

Sep 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Callie Crews

Title

Owner

Phone

(904) 259-2935

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam Lee Copher, RN

  • Registered Nurse
  • Macclenny, FL
  • NPI 1013252477
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1538595442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 N 4TH ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632109",
            "telephone_number": "904-259-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 N 4TH ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632109",
            "telephone_number": "904-259-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE SOURCE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "CALLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-259-2935",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quoi Quyen Nguyen, M.D
• Thu D Nguyen, MD
• Marianne Nichols
• Whitney Renae Nimmo-Olsen, ARNP
• Northeast Florida State Hospital
• Nurturing in Nature
• Autumn H O'Neal, SLP
• Merredith Oakes
• Dwayne Maurice Oquendo
• Taylor Parker, APRN

• Nursing Care Agency in Macclenny, FL
• Providers in Macclenny, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.