MRS. BRANDI JACKSON (NPI# 1033720701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033720701 |
| Entity Type | Individual |
| Full Name | MRS. BRANDI JACKSON |
| Credential | CRNP |
| Practice Address |
Tennessee Valley Pediatrics 234 Keller Park Tuscumbia AL 35674 |
| Mailing Address |
5551 County Road 63 Killen AL 35645 |
| Practice Telephone | 2563816963 |
| Mailing Telephone | 2567107277 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-108915 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912186321 | Brandi Rochelle Jackson | Dentist | 11223 Davinci Dr, Davidson, NC 28036-7799 | 2007-11-01 |
| 1316406747 | Brandi Jackson | Physical Therapist | 2572 E South Weber Dr Ste 5, South Weber, UT 84405-9550 | 2019-03-15 |
| 1356817050 | Brandi Jackson | Nurse Practitioner | 910 E Houston St Ste 100, Tyler, TX 75702-8363 | 2018-10-19 |
| 1154803104 | Brandi Lynette Jackson | Behavior Technician | 5300 Lennox Ave, Bakersfield, CA 93309-1662 | 2018-09-05 |
| 1255793501 | Brandi Nicole Jackson | Counselor | 22505 Woodroe Ave, Hayward, CA 94541-3410 | 2016-03-25 |
| 1376927830 | Brandi Jackson | Case Manager/Care Coordinator | 245 E 680 S, Cedar City, UT 84720-3593 | 2015-07-15 |
| 1568853984 | Brandi Jackson | Psychiatry & Neurology | 912 S Wood St, Chicago, IL 60612-4300 | 2015-02-06 |
| 1447209630 | Brandi L Jackson | Physical Therapist | 5501 Nw 62nd Ter, Ste 102, Kansas City, MO 64151-2411 | 2006-05-08 |
| Street Address |
TENNESSEE VALLEY PEDIATRICS 234 KELLER PARK |
| City | TUSCUMBIA |
| State | AL |
| Zip Code | 35674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841661865 | Ashley Elizabeth Presley | Nurse Practitioner | 218 East 5th Street, Tuscumbia, AL 35674 | 2015-10-16 |
| 1487988150 | Susanna Hall | Nurse Practitioner | 1106 N Cave St, Tuscumbia, AL 35674 | 2009-09-28 |
| 1417115288 | Thomas Armstead Branscome | Dentist | 208 East Fifth Street, Tuscumbia, AL 35674 | 2008-05-29 |
| 1285712075 | Ent & Allergy Institute of North Al | Otolaryngology | 1106 North Cave Street, Tuscumbia, AL 35674 | 2006-11-01 |
| 1497840912 | Penny Oliver Townsend | Hearing Instrument Specialist | 116 East 5th Street, Tuscumbia, AL 35674 | 2006-10-03 |
| 1962470914 | David Bruce Laughlin | Family Medicine | 1404 Avalon Ave, Suite B-00, Tuscumbia, AL 35674 | 2006-03-08 |
| 1033192695 | Air Evac Ems Inc | Ambulance | 1010 3 Mile Ln, Tuscumbia, AL 35674 | 2005-11-28 |
| 1912256348 | Katie Elizabeth Fulmer | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674 | 2012-08-30 |
| 1205148939 | Samanger Nicole Purcell | Specialist | 234 Keller Park Blvd, Tuscumbia, AL 35674 | 2010-07-10 |
| 1225142227 | Charles Michael Cowley | Dentist | 121 E 5th St, Tuscumbia, AL 35674 | 2006-08-18 |
| Find all providers in zip 35674 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780173591 | Natasha Leann Taylor | Nurse Practitioner | 4951 Wilson Dam Rd, Tuscumbia, AL 35674-9141 | 2018-05-07 |
| 1346698503 | Tiffany Reshea Riner | Nurse Practitioner | 218 E 5th St Ste 2, Tuscumbia, AL 35674-2520 | 2016-05-28 |
| 1841661865 | Ashley Elizabeth Presley | Nurse Practitioner | 218 East 5th Street, Tuscumbia, AL 35674 | 2015-10-16 |
| 1487988150 | Susanna Hall | Nurse Practitioner | 1106 N Cave St, Tuscumbia, AL 35674 | 2009-09-28 |
| 1144839069 | Anna Margaret James | Nurse Practitioner | 1106 N Cave St, Tuscumbia, AL 35674-1358 | 2020-07-27 |
| 1851840888 | Lister Healthcare Corporation | Nurse Practitioner | 1309 State St, Suite A, Tuscumbia, AL 35674-1772 | 2016-10-03 |
| 1518317684 | Alicia Nix | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2016-06-20 |
| 1376933663 | Allyson D Johnson | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2015-01-26 |
| 1487075776 | Katie Schlarp | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2014-01-03 |
| 1790023679 | Kacie Leigh Fuller | Nurse Practitioner | 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | 2013-01-28 |
| Find all providers in TUSCUMBIA | ||||
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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.