MS. ELIZABETH A JACKSON


Address: 94 Auburn St Ste 106, Portland, ME 04103-2141
Phone: 2078783003

MS. ELIZABETH A JACKSON (NPI# 1104091784) 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) 1104091784
Entity Type Individual
Full Name MS. ELIZABETH A JACKSON
Credential LIC. MASSAGE THERAPI
Practice Address 94 Auburn St Ste 106
Portland
ME 04103-2141
Mailing Address 94 Auburn St
Suite 106
Portland
ME 04103-2141
Practice Telephone 2078783003
Practice Fax Number 2078783004
Mailing Telephone 2078783003
Mailing Fax Number 2078783004
Enumeration Date 2008-04-24
Last Update Date 2008-12-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MT3127 ME Other Service Providers

Other Providers ELIZABETH JACKSON

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1619413861 Elizabeth Marie Jackson Nurse Practitioner 123 Brooke Ln Ne, Cleveland, TN 37312-7416 2017-01-12
1699130245 Elizabeth Grace Jackson Counselor Philhaven 283 Butler Road, Mt Gretna, PA 17064 2015-12-28
1649694233 Elizabeth Arlene Jackson Counselor 922 12th St, Rawlins, WY 82301-6517 2014-02-18
1477882272 Elizabeth Wood Jackson Psychologist 122 Saint Marys St, Raleigh, NC 27605-1809 2009-12-08
1801095898 Elizabeth Osborne Jackson Dentist 317 Rosewood St, Irondale, AL 35210-3116 2007-07-11
1295834893 Elizabeth Marie Jackson Physician Assistant 515 Wekiva Commons Circle, Apopka, FL 32712 2006-09-21
1902420466 Elizabeth Detweiler Jackson Registered Nurse 42 Town St Ste 300, Norwich, CT 06360-2339 2020-06-01
1366078800 Elizabeth Jackson Counselor 4902 S Cedar St, Lansing, MI 48910-5474 2020-03-17

Office Location

Street Address 94 AUBURN ST STE 106
City PORTLAND
State ME
Zip Code 04103-2141

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790302677 Hope for All Community Services LLC Community/Behavioral Health 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 2020-06-26
1982251435 Hope Home Healthcare, LLC Home Health 68 Bishop St Unit 3 #2, Portland, ME 04103 2019-08-20
1992367023 Care for Everyone In Home Supportive Care 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 2019-06-28
1093373458 Emanuel Nistrian Student in an Organized Health Care Education/Training Program Une, 716 Stevens Ave., Portland, ME 04103 2019-05-31
1023676483 Robert Montague Student in an Organized Health Care Education/Training Program University of New England, 716 Stevens Ave, Portland, ME 04103 2019-05-31
1154838027 Kimberly Therriault Behavior Technician 527 Ocean Ave Ste 19, Portland, ME 04103 2018-01-02
1285147918 Teresa Maalouf Community Health Worker 23 Cambridge St., Portland, ME 04103 2017-11-16
1578082244 Darcelle Kay Stillman Occupational Therapist 90 Dorothy St, Portland, ME 04103 2017-09-14
1821524943 Engility Enterprises LLC Case Management 1 Coast Lane, Portland, ME 04103 2017-05-10
1720524283 Hannah Rose Kazilionis Counselor 257 Deering Ave # 204, Portland, ME 04103 2017-01-09
Find all providers in zip 04103

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215536560 Irina A Mcgaughey Specialist 610 Sw Alder St Ste 920, Portland, OR 97205-3610 2020-10-19
1780294181 Cynthia R Mendoza Specialist 2245 Se Powell Blvd, Portland, OR 97202-2143 2020-07-31
1679199335 Alter Image, Inc. Specialist 2340 Se Gladstone St, Portland, OR 97202-2962 2020-06-18
1770044281 Donnissa Smith Specialist 117 Se 129th Ave, Portland, OR 97233-1503 2019-03-27
1588191258 Jason Moore Specialist 522 Ne Thompson St, Portland, OR 97212-3843 2017-05-12
1578097218 Alicia N Keys Specialist 10480 Sw Eastridge St Apt 88, Portland, OR 97225-5047 2017-04-19
1942734736 Mom By Lj Specialist 2906 N Willamette Blvd, Portland, OR 97217-4073 2017-04-18
1659811198 Ricardo H. Medina Specialist 1400 Nw Irving St Apt 709, Portland, OR 97209-2260 2017-03-02
1730626805 Jennifer Frank Specialist 1008 Se 112th Ave, Portland, OR 97216-3516 2017-01-26
1720523012 Andrea Lett Specialist 4627 Ne 30th Ave, Portland, OR 97211-7001 2016-12-22
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 04103

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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