COURTNEY ANN JACKSON


Address: 5001 Mcclellan Hwy, Branchland, WV 25506-7704
Phone: 6815330387

COURTNEY ANN JACKSON (NPI# 1063024842) 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) 1063024842
Entity Type Individual
Full Name COURTNEY ANN JACKSON
Practice Address 5001 Mcclellan Hwy
Branchland
WV 25506-7704
Practice Telephone 6815330387
Mailing Telephone 6815330387
Enumeration Date 2020-08-21
Last Update Date 2020-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Other Providers COURTNEY JACKSON

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1063606846 Courtney Lara Jackson Counselor 1801 Vincente St, San Francisco, CA 94116-2923 2007-09-05
1164029245 Courtney Jackson Speech-Language Pathologist 65 Court St, Brooklyn, NY 11201-4916 2020-10-02
1457966509 Courtney Tamara Jackson Nurse Practitioner 407 Cowart Ave, Valdosta, GA 31602-2635 2020-09-14
1013533926 Courtney Marie Jackson Family Medicine 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 2020-06-17
1508494600 Courtney Elyse Jackson Nurse Practitioner 2508 Scottsville Rd Ste 104, Bowling Green, KY 42104-4400 2020-04-01

Office Location

Street Address 5001 MCCLELLAN HWY
City BRANCHLAND
State WV
Zip Code 25506-7704

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245746809 Sheila Ann Mays Technician 1100 Raccoon Creek Road, Branchland, WV 25506 2017-12-19
1386943405 Mary Elizabeth Sangregory Licensed Practical Nurse 342 Camp Branch Rd, Branchland, WV 25506 2011-03-16
1447864178 Angela R Samuel-dean Technician 13 Chaney Br, Branchland, WV 25506-6029 2020-09-01
1801406707 Cassandra Clark Technician 1284 4 Mile Crk, Branchland, WV 25506-6709 2020-08-05
1871105387 Travis Wade Saunders Technician 196 Little Laurel Crk, Branchland, WV 25506-7756 2020-08-18
1588973739 Jeremy Dale Neace Pharmacist 5798 Mcclellan Hwy, Branchland, WV 25506-8700 2010-10-05
1548379878 Rite Aid of West Virginia Inc Durable Medical Equipment & Medical Supplies 5798 Mcclellan Highway, Branchland, WV 25506-8700 2006-08-30
1164948972 Walgreen Co Durable Medical Equipment & Medical Supplies 5798 Mcclellan Hwy, Branchland, WV 25506-8700 2017-08-15
1598054744 Sharon Rose Morrison Pharmacist 5798 Mcclellan Hwy, Branchland, WV 25506-8700 2011-03-28
1023628179 Clarissa Estep Technician 317 Low Gap Rd, Branchland, WV 25506-8714 2020-08-04
Find all providers in zip 25506

Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760080162 Brianna Skye Meadows Technician 74 Palermo Rd, Branchland, WV 25506-9359 2020-10-16
1720686934 Ledena Sue Stevens Technician 5342 Mcclellan Hwy, Branchland, WV 25506-8725 2020-10-12
1447864178 Angela R Samuel-dean Technician 13 Chaney Br, Branchland, WV 25506-6029 2020-09-01
1609489962 Kelley Dawn Bowen Technician 1108 Raccoon Creek Rd, Branchland, WV 25506-9604 2020-08-26
1871105387 Travis Wade Saunders Technician 196 Little Laurel Crk, Branchland, WV 25506-7756 2020-08-18
1922619030 Brenda Conner Technician 21 Pound Fork Rd, Branchland, WV 25506-9622 2020-08-12
1801406707 Cassandra Clark Technician 1284 4 Mile Crk, Branchland, WV 25506-6709 2020-08-05
1023628179 Clarissa Estep Technician 317 Low Gap Rd, Branchland, WV 25506-8714 2020-08-04
1467061747 Jacqueline Jeffery Technician 43 Lees Lake Rd, Branchland, WV 25523 2020-07-23
1245746809 Sheila Ann Mays Technician 1100 Raccoon Creek Road, Branchland, WV 25506 2017-12-19
Find all providers in BRANCHLAND

Competitor

Search similar providers

City BRANCHLAND
Zip Code 25506

Improve Information

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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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