JMC Professional Surgical Associate, PLLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

521694 Issued in TX

Legal business name

JMC PROFESSIONAL SURGICAL ASSOCIATE, PLLC

Practice address

3808 Scenic Dr
Tyler, TX 75709-5402

Phone

(888) 322-6432

Fax

(888) 329-6432

NPI assigned

Jun 9, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Conley, RNFANPI 1700213014

Title

Owner

Phone

(888) 322-6432

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie H Conley, RNFA

  • Registered Nurse First Assistant
  • Tyler, TX
  • NPI 1700213014
  NPD (past) Authorized official

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1760831770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8943",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757118943",
            "telephone_number": "888-322-6432",
            "fax_number": "888-329-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 SCENIC DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757095402",
            "telephone_number": "888-322-6432",
            "fax_number": "888-329-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMC PROFESSIONAL SURGICAL ASSOCIATE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-322-6432",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "521694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Jimenez-Torres, M. D.
• Tammy Jimenez, RD, LD, IBCLC, CPM,
• Tyresa Jimmerson
• JK7 Promisland, Inc.
• JKM Homecare
• Melissa Jno Lewis
• Ebrima Jobe
• Ousman Jobe
• Tom Joby, O.D.
• John M McLean

• Registered Nurse First Assistant in Tyler, TX
• Providers in Tyler, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.