ANGELA VERA JACKSON (NPI# 1093262784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093262784 |
| Entity Type | Individual |
| Full Name | ANGELA VERA JACKSON |
| Credential | N.P.- C |
| Practice Address |
394 Pearson Dr Porterville CA 93257-3368 |
| Mailing Address |
Po Box 487 Springville CA 93265-0487 |
| Practice Telephone | 5597838383 |
| Mailing Telephone | 5597869730 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95003924 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
394 PEARSON DR |
| City | PORTERVILLE |
| State | CA |
| Zip Code | 93257-3368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134309446 | Pearson Medical Clinic, Inc. | Family Medicine | 394 Pearson Dr, Porterville, CA 93257-3368 | 2007-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140727 | Marilu Lemos | Student in an Organized Health Care Education/Training Program | 1055 W. Henderson Ave, Suite 2, Porterville, CA 93257 | 2020-06-30 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1639704182 | Ria Mehta | Occupational Therapist | Sierra Valley Rehab Center, 301 W Putnam Avenue, Porterville, CA 93257 | 2020-03-05 |
| 1659928653 | Jennifer Ramirez | Technician | 1166 San Carlos St, Porterville, CA 93257 | 2019-08-23 |
| 1053875484 | Family Healthcare Network | Clinic/Center | 65 N. Hockett St., Porterville, CA 93257 | 2019-01-30 |
| 1679065189 | William Vanlandingham | Health Educator | 333 W Henderson Ave, Porterville, CA 93257 | 2018-05-31 |
| 1982111209 | Samantha Kaitlyn Crowley | Counselor | 117 W Henderson Ave Ste 1, Porterville, CA 93257 | 2018-01-08 |
| 1538688023 | Jason Reyes | Physician Assistant | 305 E Poplar Ave, Porterville, CA 93257 | 2017-09-15 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1467998849 | Justine Hallas | Nurse Practitioner | 590 Putnam Ave, Porterville, CA 93257 | 2017-01-10 |
| Find all providers in zip 93257 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840014 | Maria Eloisa Hernandez | Nurse Practitioner | 1107 W Poplar Ave., Porterville, CA 93257-5839 | 2019-09-18 |
| 1689628091 | Michael William Roper | Nurse Practitioner | 876 W Grand Ave, Porterville, CA 93257-2071 | 2006-05-20 |
| 1366495368 | Carolyn Alice Diaz | Nurse Practitioner | 222 W Henderson Ave, Porterville, CA 93257-1731 | 2006-05-19 |
| 1154942209 | Rachel Altman | Nurse Practitioner | 1107 W Poplar Ave, Porterville, CA 93257-5839 | 2020-04-29 |
| 1306487061 | Silvia Nereida Bedolla | Nurse Practitioner | 1107 W Poplar Ave, Porterville, CA 93257-5839 | 2019-10-03 |
| 1154885853 | Monique Nicole Collins | Nurse Practitioner | 590 W Putnam Ave, Porterville, CA 93257-3257 | 2019-01-27 |
| 1003394537 | Ramon Vinicio Pena Galvan | Nurse Practitioner | 590 W Putnam Ave, Porterville, CA 93257-3257 | 2018-08-06 |
| 1740772870 | Deborah Young | Nurse Practitioner | 1107 W Poplar Ave, Porterville, CA 93257-5839 | 2018-06-04 |
| 1356862791 | Ashley Casillas | Nurse Practitioner | 1107 W Poplar Ave, Porterville, CA 93257-5839 | 2017-07-06 |
| 1285081299 | Tara Maria Clark | Nurse Practitioner | 380 N Reservation Rd, Porterville, CA 93257-9673 | 2016-05-19 |
| Find all providers in PORTERVILLE | ||||
| City | PORTERVILLE |
| Zip Code | 93257 |
Please comment or provide details below to improve the information on ANGELA VERA JACKSON.
| 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.