Jessica Vassallo
Nurse Practitioner

Address: 636 Pine Harbor Way, Salem, SC 29676-3537
Phone: 8649039604

Jessica Vassallo (NPI# 1356946669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1356946669
Entity Type Individual
Full Name Jessica Vassallo
Gender Female
Practice Address 636 Pine Harbor Way
SC 29676-3537
Practice Telephone 8649039604
Mailing Address 636 Pine Harbor Way
SC 29676-3537
Mailing Telephone 8649039604
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-12-03
Last Update Date 2020-12-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers 230522 SC

Providers with the same name

NPI Name Taxonomy Address Enumeration
1265719587 Jessica A Vassallo Social Worker 1345 Motor Pkwy, Islandia, NY 11749-5208 2011-11-15
1770557597 Jessica Lindstadt Vassallo Clinical Neuropsychologist 13000 Bruce B Downs Blvd, Psychology 116b, Tampa, FL 33612-4745 2006-02-16

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134759012 Caleb James Calder Nurse Practitioner 11 Oakland St, Salem, MA 01970-1520 2020-01-20
1467928184 Jean David Thomas Nurse Practitioner Salem Family Health Center, 47 Congress Street, Salem, MA 01970 2018-10-20
1407371388 Debra Lee Jenkins Nurse Practitioner 1905 Mcvitty Rd, Salem, VA 24153-7405 2017-08-11
1003282310 Rachell Renee Davis Nurse Practitioner 1793 13th St. Se, Salem, OR 97302 2015-08-20
1194108365 Danielle Marlene Dupuis Nurse Practitioner 810 Commercial St Se, Salem, OR 97302 2015-07-06
1306272471 Josh Hooton Nurse Practitioner 251 W State Road 198 Ste 3, Salem, UT 84653-5608 2013-09-20
1104082197 Richard Fredrick Meyers Nurse Practitioner 670 Hawthorne Ave Se, Suite 160, Salem, OR 97301-6884 2008-07-30
1831398122 Karlen E Luthy Nurse Practitioner 118 N Main St Ste B, Salem, UT 84653-5698 2007-07-16
1174603401 Anthony G Haralabatos Nurse Practitioner 59 Stiles Rd 104, Salem, NH 03079-5816 2006-10-17
1457378044 Robert M Wilkinson Nurse Practitioner 141 Hospital Dr Ste 103, Salem, KY 42078-8043 2006-07-17
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Office Location

Street Address 636 PINE HARBOR WAY
State SC
Zip Code 29676-3537

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790131704 Keowee Fire Tax District Emergency Medical Technician, Basic 115 Maintenance Rd, Salem, SC 29676 2016-05-09
1619341062 Shawn Thomas Chiropractor 315 Coveview Court, Salem, SC 29676 2015-11-23
1720191968 Robert Scott Anderson Dentist 25 Eastern Pt, Salem, SC 29676 2006-08-15
1427407501 Stephanie Gibson Community Health Worker 600b N Lake Dr, Salem, SC 29676-2406 2016-06-08
1174998207 Shrieka Gilliard Non-emergency Medical Transport (VAN) 122 Flat Shoals Rd, Salem, SC 29676-2717 2015-12-01
1316218142 David Foster Pharmacist 15740 N Highway 11 Ste 2b, Salem, SC 29676-3262 2012-01-25
1851937155 Barbara Anne Perham Pharmacy Technician 15740 N Highway 11 Ste 2b, Salem, SC 29676-3262 2019-11-21
1427570282 Keowee Family Pharmacy, LLC Pharmacy 15740 N Highway 11 Ste 2b, Salem, SC 29676-3262 2017-07-13
1871947820 Leigh Roach Student in an Organized Health Care Education/Training Program 9 Park Ave, Salem, SC 29676-3304 2016-04-15
1124438965 Cindy Winkler Burnett Counselor 4 Eagle Ln, Salem, SC 29676-3337 2014-05-01
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.