CYNTHIA ELAINE JACKSON (NPI# 1073891040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073891040 |
| Entity Type | Individual |
| Full Name | CYNTHIA ELAINE JACKSON |
| Credential | APN |
| Practice Address |
3443 Harrison St Batesville AR 72501-8820 |
| Practice Telephone | 8706981635 |
| Practice Fax Number | 8706123389 |
| Mailing Telephone | 8706981635 |
| Mailing Fax Number | 8706123389 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AO3578 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205789 | Cynthia Jackson | Technician | 2834 Green Bank Rd, Arbovale, WV 24915-5565 | 2020-08-13 |
| 1225650757 | Cynthia Linnea Jackson | Midwife | 20551 Motor Dr Apt A4, Detroit, MI 48235-1831 | 2020-05-06 |
| 1598384935 | Cynthia Jackson | Dentist | 1620 Alpine Blvd Ste 212, Alpine, CA 91901-1105 | 2020-04-15 |
| 1134759863 | Cynthia Rana Jackson | Home Health | 1206 W Central Ave, Coolidge, AZ 85128-9165 | 2020-01-22 |
| 1427515303 | Cynthia Mary Jackson | Social Worker | 602 Kahn Dr, Pikesville, MD 21208-5824 | 2019-02-27 |
| 1619441102 | Cynthia Lee Jackson | Licensed Vocational Nurse | 1646 Best Blvd, Wichita Falls, TX 76301-8144 | 2019-01-17 |
| 1881128601 | Cynthia Jackson | Student in an Organized Health Care Education/Training Program | 5100 Highbridge St Apt 47d, Fayetteville, NY 13066-2461 | 2017-04-18 |
| 1396298451 | Cynthia Elaine Jackson | Technician, Other | 29167 Village Rd, Southfield, MI 48034-1222 | 2016-07-25 |
| 1255734331 | Cynthia R Jackson | Counselor | 3173 Washington Ave, Baton Rouge, LA 70802-2178 | 2014-10-02 |
| 1932534047 | Cynthia A Jackson | Home Health Aide | 2801 Eagle St, Houston, TX 77004-4543 | 2013-09-08 |
| Street Address |
3443 HARRISON ST |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501-8820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336140839 | Gregory W Neaville | Specialist | 3443 Harrison St, Batesville, AR 72501-8820 | 2005-08-09 |
| 1144742768 | White River Health System Inc | Specialist | 3443 Harrison St, Batesville, AR 72501-8820 | 2017-07-14 |
| 1497125207 | Taylor Caston | Physician Assistant | 3443 Harrison St, Batesville, AR 72501-8820 | 2015-10-06 |
| 1659766939 | Jennifer Blaney | Clinical Nurse Specialist | 3443 Harrison St, Batesville, AR 72501-8820 | 2015-04-02 |
| 1629414354 | Janice Ann Benton | Nurse Practitioner | 3443 Harrison St, Batesville, AR 72501-8820 | 2013-05-21 |
| 1801140728 | William S. Alexander, M.d.,p.l.l.c | Surgery | 3443 Harrison St, Batesville, AR 72501-8820 | 2012-10-30 |
| 1629364492 | John S. Lambert, M.d., P.a. | Physician Assistant | 3443 Harrison St, Batesville, AR 72501-8820 | 2011-06-21 |
| 1881983112 | Deanna M Nast | Nurse Practitioner | 3443 Harrison St, Batesville, AR 72501-8820 | 2011-04-07 |
| 1558336354 | White River Diagnostic Clinic | Specialist | 3443 Harrison St, Batesville, AR 72501-8820 | 2006-02-23 |
| 1285614958 | John Sydney Lambert | Surgery | 3443 Harrison St, Batesville, AR 72501-8820 | 2006-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| Find all providers in zip 72501 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003355447 | Leroy Maupin Jr. | Nurse Practitioner | 407 Virginia Dr, Batesville, AR 72501-7329 | 2017-02-17 |
| 1104128867 | Jefferson Wilburn Moore Jr. | Nurse Practitioner | 1710 Harrison St, Batesville, AR 72501-7303 | 2010-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122121 | John Mychal Thompson | Nurse Practitioner | 1411 Terrace, Magnolia, AR 71753-2040 | 2020-10-21 |
| 1619581873 | Tammy M Palermo | Nurse Practitioner | 210 County Road 1071, Eureka Springs, AR 72632-9480 | 2020-09-04 |
| 1134733611 | Heather Suzanne Brown | Nurse Practitioner | 856 Silverpeak Rd, Sherwood, AR 72120-2366 | 2020-09-02 |
| 1891307054 | Jyrissa Robinson | Nurse Practitioner | 1209 Hideaway Cv, Bryant, AR 72022-5007 | 2020-08-19 |
| 1598308140 | Elizabeth Ann Charles | Nurse Practitioner | 7001 Rogers Ave Fl 6, Fort Smith, AR 72903-4073 | 2019-10-25 |
| 1548802309 | Jazzmon Nicole Trice | Nurse Practitioner | 8400 Highway 386 East, Wrightsville, AR 72183 | 2019-10-14 |
| 1902457955 | Debbie Diane Laws | Nurse Practitioner | 2415 N Tyler St, Little Rock, AR 72207-3740 | 2019-09-21 |
| 1104473214 | Rebecca Lopez | Nurse Practitioner | 3305 S 2nd Pl, Rogers, AR 72758-1427 | 2019-08-22 |
| 1457814501 | Charis Health and Wellness Clinic | Nurse Practitioner | 7500 Dollarway Rd Ste 403, White Hall, AR 71602-3083 | 2019-04-06 |
| 1780141531 | Lauren Kincannon | Nurse Practitioner | Baptist Health Cardiothoracic Surgery Clinic, Little Rock, AR 72205-7220 | 2019-02-28 |
| Find all providers with the same taxonomy | ||||
| City | BATESVILLE |
| Zip Code | 72501 |
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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.