Provider Demographics
NPI:1275800815
Name:MCGUIRE, JOCELYN HILARY (RN, MSN, APN, ANP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:HILARY
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:RN, MSN, APN, ANP-BC
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:HILARY
Other - Last Name:STAUFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN, APN, ANP-BC
Mailing Address - Street 1:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:
Practice Address - Street 1:3991 DUTCHMANS LN STE 310
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4716
Practice Address - Country:US
Practice Address - Phone:502-899-6782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3016045363L00000X, 363LA2200X
TN16337363L00000X
PASP020161363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1528774Medicaid