VALENCIA DENISE JACKSON (NPI# 1053829135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053829135 |
| Entity Type | Individual |
| Full Name | VALENCIA DENISE JACKSON |
| Credential | RN |
| Practice Address |
46 Chacon Rd. Los Lunas NM 87031 |
| Practice Telephone | 5058651102 |
| Practice Fax Number | 5058658995 |
| Mailing Telephone | 5058651102 |
| Mailing Fax Number | 5058658995 |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN-70128 | NM | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771536 | Valencia Jackson | Registered Nurse | 914 Thornbriar Ct, Hampton, VA 23661-1026 | 2019-10-08 |
| 1447624606 | Valencia Marie Jackson | Counselor | 1010 N. Turner Ave, Unit 237, Ontario, CA 91764 | 2015-11-25 |
| 1184003642 | Valencia Jackson | Counselor | 1125 West St, Annapolis, MD 21401-3607 | 2015-05-29 |
| Street Address |
46 CHACON RD. |
| City | LOS LUNAS |
| State | NM |
| Zip Code | 87031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
| 1407415235 | Brittany Leigh Dow | Family Medicine | 328 Main St Sw, Los Lunas, NM 87031 | 2019-06-05 |
| 1942764162 | Christine Beevers | Occupational Therapy Assistant | 310 Bonita Vista Blvd, Los Lunas, NM 87031 | 2019-01-23 |
| 1669953105 | Patricia A Ziehl | Occupational Therapy Assistant | 119 Luna Ave., Los Lunas, NM 87031 | 2018-08-23 |
| 1922500776 | Mellisa Marie Everett | Massage Therapist | 3414 Nm- 47, Los Lunas, NM 87031 | 2018-03-07 |
| 1831699917 | Nachelle Lynn Pell | Registered Nurse | 310 Bonita Vista, Los Lunas, NM 87031 | 2018-02-15 |
| 1548777972 | Aja Santana Armijo | Speech-Language Pathologist | 46 Chacon Blvd., Los Lunas, NM 87031 | 2018-01-08 |
| 1730691742 | Larissa Baldonado | Registered Nurse | 236 Don Pasqual Rd Nw, Los Lunas, NM 87031 | 2017-10-31 |
| Find all providers in zip 87031 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1265087886 | Sheena Danielle Zemke | Registered Nurse | 2 Albert Ln, Los Lunas, NM 87031-7604 | 2019-08-09 |
| 1528542727 | Cynthia Sandoval | Registered Nurse | 34 Winchester Ln, Los Lunas, NM 87031-7129 | 2018-09-24 |
| 1831699917 | Nachelle Lynn Pell | Registered Nurse | 310 Bonita Vista, Los Lunas, NM 87031 | 2018-02-15 |
| 1790106789 | Marisol Montano | Registered Nurse | 22 Marlink, Los Lunas, NM 87031-5848 | 2013-12-18 |
| 1093136061 | Kimberly Driskill | Registered Nurse | 800 Coronado St, Los Lunas, NM 87031 | 2013-12-18 |
| 1093136079 | Kim Wisneski | Registered Nurse | 3701 Sundance St., Los Lunas, NM 87031 | 2013-12-18 |
| 1275954356 | Jacqueline Hunter | Registered Nurse | 111 Monica Rd, Los Lunas, NM 87031-9567 | 2013-12-17 |
| 1699196634 | Kim Morrison | Registered Nurse | 454 Coronado St Ne, Los Lunas, NM 87031-8709 | 2013-12-17 |
| 1720610868 | Vickie Diane Zamora | Registered Nurse | 310 Bonita Vista Blvd, Los Lunas, NM 87031 | 2020-02-06 |
| Find all providers in LOS LUNAS | ||||
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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.