DANIELLE LAWANNA JACKSON (NPI# 1033585831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033585831 |
| Entity Type | Individual |
| Full Name | DANIELLE LAWANNA JACKSON |
| Credential | RN |
| Practice Address |
213 Birkdale Dr Daytona Beach FL 32124-2053 |
| Practice Telephone | 3863341476 |
| Mailing Telephone | 3863341476 |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2015-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 9380491 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112179 | Danielle Caitlin Jackson | Physician Assistant | 1011 Harlan St, Indianapolis, IN 46203-1318 | 2020-04-07 |
| 1295215226 | Danielle Jackson | Student in an Organized Health Care Education/Training Program | 7427 Meadow Run Ct, Mobile, AL 36619-3632 | 2018-08-20 |
| 1578914537 | Danielle Jackson | Case Manager/Care Coordinator | 2088 Carver Dr, Marrero, LA 70072 | 2016-06-30 |
| 1063879930 | Danielle Marie Jackson | Licensed Practical Nurse | 4 Hawk Nest Ln Apt 2, Wallkill, NY 12589-2630 | 2016-01-24 |
| 1578906905 | Danielle S Jackson | Psychiatry & Neurology | 446 E Ontario St Ste 200, Chicago, IL 60611-4418 | 2013-04-16 |
| 1033419155 | Danielle Jackson | Physician Assistant | 1845 Satellite Blvd Nw, Duluth, GA 30097-5256 | 2010-10-22 |
| 1841818531 | Danielle Beverly Jackson | Speech-Language Pathologist | 4501 Jackson Rd, Fredericksburg, VA 22407-6706 | 2020-07-08 |
| 1669093431 | Danielle Ashley Jackson | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-02 |
| 1104461730 | Danielle Jackson | Pharmacist | 6181 Us Highway 431, Albertville, AL 35950-2011 | 2019-11-06 |
| 1518436559 | Danielle Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-11-20 |
| Street Address |
213 BIRKDALE DR |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32124-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538515911 | Senior Care Source, Inc. | In Home Supportive Care | 213 Birkdale Dr, Daytona Beach, FL 32124-2053 | 2016-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302599 | Christine Lapila | Behavioral Analyst | 201 Thornberg Branch Lane, Daytona Beach, FL 32124 | 2016-08-29 |
| 1194708495 | Brent N. Fulton | Family Medicine | 3127 W International Speedway Blvd., Daytona Beach, FL 32124 | 2005-11-21 |
| 1891212130 | Brian Moore | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124 | 2017-08-28 |
| 1588834725 | Glendoria Stephens | Counselor | 3875 Tiger Bay Rd, Rm 914 Bldg I, Daytona Beach, FL 32124 | 2008-03-04 |
| 1003146887 | Sequel Tsi of Florida, LLC Daytona Transitional | Residential Treatment Facility, Emotionally Disturbed Children | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2009-12-30 |
| 1376874370 | Sequel Tsi of Florida, LLC Daytona Residential Treatment Center | Psychiatric Residential Treatment Facility | 1386 Indian Lake Rd, Daytona Beach, FL 32124-1001 | 2010-01-15 |
| 1710531454 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2019-07-31 |
| 1336746544 | Kyle Adams | Pharmacist | 2630 Lpga Blvd, Daytona Beach, FL 32124-1008 | 2020-10-01 |
| 1750369666 | Sma Healthcare Inc | Community/Behavioral Health | 1150 Red John Road, Daytona Beach, FL 32124-1016 | 2006-01-03 |
| 1396742490 | Theodore Frank Matejka | Nurse Practitioner | 1150 Red John Dr, Daytona Beach, FL 32124-1016 | 2005-07-05 |
| Find all providers in zip 32124 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582663 | Katina Mallory | Registered Nurse | 621 Russell Dr, Daytona Beach, FL 32114-5141 | 2019-08-02 |
| 1104262831 | Beth Pierre Wright | Registered Nurse | 6 Azalea Dr, Daytona Beach, FL 32124-3613 | 2013-05-21 |
| 1245392802 | Marigold Haresco Santos | Registered Nurse | 305 Dahoon Holly Dr, Daytona Beach, FL 32117-7121 | 2006-12-13 |
| 1215912027 | Vicki L Wilcoxson | Registered Nurse | 303 N Clyde Morris Blvd Ste 302, Daytona Beach, FL 32114-2709 | 2005-12-14 |
| 1740287747 | Catherine Virginia Root | Registered Nurse | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2005-07-05 |
| 1235620527 | Precious Monique Spencer | Registered Nurse | 1673 Mason Ave, Daytona Beach, FL 32117-5515 | 2018-05-23 |
| 1124537592 | Beverly Jean Craigle | Registered Nurse | 1673 Mason Ave, Daytona Beach, FL 32117-5515 | 2017-09-28 |
| 1427575992 | Kaitlyn Troftgruben | Registered Nurse | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2017-08-25 |
| 1053837344 | Matthew Frederick Byron | Registered Nurse | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2017-08-17 |
| 1578007068 | Jennifer Ciara Saccente | Registered Nurse | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2016-12-19 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32124 |
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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.