GLORIA L JACKSON (NPI# 1013035294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013035294 |
| Entity Type | Individual |
| Full Name | GLORIA L JACKSON |
| Other Name | GLORIA L PITTS |
| Credential | CRNP |
| Practice Address |
900 Medical Center Dr Ste 200 Sewell NJ 08080-2358 |
| Mailing Address |
3400 Civic Center Blvd Pcam 4 West Philadelphia PA 19104 |
| Practice Telephone | 8565577900 |
| Mailing Telephone | 2156155858 |
| Mailing Fax Number | 2153498144 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 26NJ00058800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | SP007231 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3400 Civic Center Blvd, Pcam 4 West, Philadelphia, PA 19104 | 2156155858 | 2153498144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619371507 | Gloria Jackson | Counselor | 800 N. Rainbow Blvd Suite 215, Las Vegas, NV 89107 | 2014-10-21 |
| 1205874369 | Gloria Jackson | Social Worker | 220 W Congress St Fl 2, Detroit, MI 48226-3289 | 2006-06-02 |
| 1356789713 | Gloria Jackson | Licensed Practical Nurse | 525 S 9th St, Lindenhurst, NY 11757-4529 | 2013-06-07 |
| 1639421043 | Gloria J. Jackson | Rehabilitation Practitioner | 3095 E Patrick Ln, Suite 12, Las Vegas, NV 89120-4932 | 2012-10-09 |
| 1245213354 | Gloria J. Jackson | Nurse Practitioner | 9097 Collinsville Rd, Collinsville, MS 39325-9779 | 2005-11-22 |
| 1235123423 | Gloria M Jackson | Family Medicine | 222 Grafton Dr, Grafton, VA 23692-2152 | 2005-09-02 |
| Street Address |
900 MEDICAL CENTER DR STE 200 |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-2358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989321 | Courtney Daniels | Nurse Practitioner | 900 Medical Center Dr Ste 200, Sewell, NJ 08080-2358 | 2019-12-20 |
| 1043593999 | Parminder Bath Sohal | Nurse Practitioner | 900 Medical Center Dr Ste 200, Sewell, NJ 08080-2358 | 2011-09-27 |
| 1649436973 | Michael Ian Rotkowitz | Internal Medicine | 900 Medical Center Dr Ste 200, Sewell, NJ 08080-2358 | 2008-08-06 |
| 1083823504 | Anthony Pool Scarpaci | Internal Medicine | 900 Medical Center Dr Ste 200, Sewell, NJ 08080-2358 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013457225 | Rosalin Ivanay Thompson-cordoba | Nurse Practitioner | 239 Hurffville Crosskeys Rd Ste 2, Sewell, NJ 08080-4002 | 2017-03-07 |
| 1790015659 | Emma-ruth Palileo Paz-querubin | Nurse Practitioner | 900 Medical Center Dr Ste 201, Sewell, NJ 08080-2358 | 2009-12-28 |
| 1174667562 | Julie A Bateman | Nurse Practitioner | 438 Ganttown Rd Ste B8-b9, Ganttown Professional Plaza, Sewell, NJ 08080-2341 | 2007-02-18 |
| 1518068519 | Lori A Mckinney | Nurse Practitioner | 4 Plaza Drive, Suite 402 Bunker Hill Plaza, Sewell, NJ 08080 | 2006-09-25 |
| 1750354593 | Jody Williams Baker | Nurse Practitioner | 211 County House Rd, Sewell, NJ 08080-2525 | 2006-02-10 |
| 1356989321 | Courtney Daniels | Nurse Practitioner | 900 Medical Center Dr Ste 200, Sewell, NJ 08080-2358 | 2019-12-20 |
| 1356431050 | Colleen K Reilly | Nurse Practitioner | 4 Plaza Dr, Suite 402, Sewell, NJ 08080-2747 | 2006-10-13 |
| 1649372095 | Samuela Zerai | Nurse Practitioner | 211 County House Rd, Sewell, NJ 08080-2525 | 2006-09-05 |
| 1457369191 | Tara Dibruno | Nurse Practitioner | 565 Egg Harbor Rd, Sewell, NJ 08080-2335 | 2006-08-04 |
| 1447292495 | Timothy R Weimer | Nurse Practitioner | 570 Egg Harbor Rd, Ste A-1, Sewell, NJ 08080-2359 | 2006-06-12 |
| Find all providers in SEWELL | ||||
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| 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.