JACKSON DIABETES CARE AND CONSULTING LLC


Address: 2610 Traceland Dr Ste A, Tupelo, MS 38801-4237
Phone: 6626816358

JACKSON DIABETES CARE AND CONSULTING LLC (NPI# 1013443811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013443811
Entity Type Organization
Organization Name JACKSON DIABETES CARE AND CONSULTING LLC
Practice Address 2610 Traceland Dr Ste A
Tupelo
MS 38801-4237
Practice Telephone 6626816358
Mailing Telephone 6626816358
Enumeration Date 2017-05-11
Last Update Date 2017-05-11
Authorized Official Name ROBIN L JACKSON (PHARMACIST)
Authorized Official Telephone 6623040181
Authorized Official Credential PHARMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
E-09982 MS Ambulatory Health Care Facilities

Office Location

Street Address 2610 TRACELAND DR STE A
City TUPELO
State MS
Zip Code 38801-4237

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194339275 Friendship, LLC Pharmacy 4123 W Main St, Tupelo, MS 38801 2020-09-04
1003443458 Nicole Sherice Taylor Nurse Practitioner 845 South Gloster Street, Tupelo, MS 38801 2020-03-25
1821556838 Wilco Healthcare of North Mississippi, Pllc Point of Service 1514 Co Rd 41, Tupelo, MS 38801 2019-03-08
1821565235 Stephanie K Cagle Nurse Practitioner 218 S Thomas St Ste 120-121, Tupelo, MS 38801 2018-10-24
1073092326 Lauren Parrish Nurse Practitioner 1573 Medical Park Circle, Tupelo, MS 38801 2018-08-08
1467948687 North Mississippi Medcial Center, Inc. Nurse Practitioner 990 S Madison St Ste 2, Tupelo, MS 38801 2018-07-11
1043700933 Hooks Diabetes & Medicine Clinic Non-Pharmacy Dispensing Site 2610 Traceland Drive, Ste A, Tupelo, MS 38801 2018-05-16
1073035903 Annette C Riddle Counselor 1004 Eisenhower Drive, Tupelo, MS 38801 2017-07-12
1548709678 Jaime Summers Nurse Practitioner 2780 West Jackson St, Tupelo, MS 38801 2017-02-22
1073975611 Heath Bryan Coleman, Dds of Mississippi II, Pllc Dentist 1168 Cross Creek Drive, Tupelo, MS 38801 2016-03-23
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902439359 Caring Heart Personal Care Services, LLC Clinic/Center 217 E Franklin St, Tupelo, MS 38804-4007 2020-02-13

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NPI Name Taxonomy Address Enumeration
1992303010 Northwest Health and Wellness, Inc Clinic/Center 215 Northwest Drive, Senatobia, MS 38668 2020-10-12
1538786090 Essential Health & Wellness Clinic P.a. Clinic/Center 5842 Goodman Rd Ste 1, Horn Lake, MS 38637-8106 2020-07-01
1144841826 Love and Care Adult Daycare and Personal Care Services Clinic/Center 521 Brentwood Ave, Greenwood, MS 38930-6910 2020-05-04
1982254389 Lca of Ms, LLC Clinic/Center 6098 U S Highway 98 Ste 4, Hattiesburg, MS 39402-8878 2019-09-17
1841849791 Ayanna Hawkins Clinic/Center 1294 White Oak Rd, Tunica, MS 38676-9743 2019-09-04
1003463928 Np Professional Services, LLC Clinic/Center 17 Church Cv, Beulah, MS 38726-9430 2019-08-26
1760035232 Mcmedical Country Clinic LLC Clinic/Center 52 County Road 74, Mc Carley, MS 38943-6820 2019-07-23
1720550775 Karen Jackson Clinic/Center 104 Taggart Dr, Steens, MS 39766-9563 2018-12-31
1831672435 Healthcareonthego, LLC Clinic/Center 3901 King Rd, Meridian, MS 39305-2533 2018-09-10
1568949097 Lifespan Wellness LLC Clinic/Center 101 Rouselle Pl Ste A, Ocean Springs, MS 39564-3074 2018-07-27
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Competitor

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City TUPELO
Zip Code 38801

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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.

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