LISA L DALTON


Address: 1855 Lakeland Dr, Ste M20, Jackson, MS 39216-4913
Phone: 6013641132

LISA L DALTON (NPI# 1104166891) 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) 1104166891
Entity Type Individual
Full Name LISA L DALTON
Credential NP
Practice Address 1855 Lakeland Dr
Ste M20
Jackson
MS 39216-4913
Practice Telephone 6013641132
Practice Fax Number 6013641134
Mailing Telephone 6013641132
Mailing Fax Number 6013641134
Enumeration Date 2013-02-18
Last Update Date 2013-02-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R882967 MS Physician Assistants & Advanced Practice Nursing Providers

Other Providers LISA DALTON

NPI Name Taxonomy Address Enumeration
1568878635 Lisa Marie Dalton Nurse Practitioner 435 E. Henrietta Rd., Rochester, NY 14620 2014-07-09
1902159965 Lisa Marie Dalton Speech-Language Pathologist 1314 S Dowling, Westland, MI 48186-4016 2012-10-16
1356546345 Lisa M Dalton Nurse Practitioner 1500 Cooper St, Fort Worth, TX 76104-2710 2007-06-19
1659430353 Lisa M Dalton Counselor 1606 Wellington Ave Unit C, Wilmington, NC 28401-7704 2006-12-08
1093799454 Lisa M Dalton Family Medicine 10350 E Dakota Ave, Denver, CO 80247-1314 2005-11-30

Office Location

Street Address 1855 LAKELAND DR
STE M20
City JACKSON
State MS
Zip Code 39216-4913

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508812694 Mchanna & Associates, Inc. Durable Medical Equipment & Medical Supplies 1855 Lakeland Dr, Suite R204, Jackson, MS 39216-4913 2006-05-26
1104423268 Emily Goeglein Counselor 1855 Lakeland Dr, Jackson, MS 39216-4913 2020-10-02
1972051522 Daniel James Holloway Nurse Practitioner 1855 Lakeland Dr, Suite P-101, Jackson, MS 39216-4913 2016-09-13
1992161954 Enhanced Wellness Living Pllc Nurse Practitioner 1855 Lakeland Dr, Ste M20, Jackson, MS 39216-4913 2016-01-06
1730552977 Kaleigh Countiss Counselor 1855 Lakeland Dr, R305, Jackson, MS 39216-4913 2015-11-10
1174804355 Portable Medical Diagnostics LLC Clinic/Center 1855 Lakeland Dr, Ste G10, Jackson, MS 39216-4926 2011-09-01
1932489812 Portable Medical Diagnostics LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 1855 Lakeland Dr, Ste G10, Jackson, MS 39216-4913 2011-08-23
1003119041 Denease Inez Bishop Counselor 1855 Lakeland Dr, Suite P101, Jackson, MS 39216-4913 2010-12-14
1790087393 Jackson Psychiatry Group Psychologist 1855 Lakeland Dr, Suite P121, Jackson, MS 39216-4913 2010-12-02
1629378971 Pmt Clinic Psychologist 1855 Lakeland Dr, Suite P101, Jackson, MS 39216-4913 2010-11-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073113627 Jessicah Blasdel Nurse Practitioner 113 W Michigan Ave, Jackson, MI 49201-1340 2020-10-31
1801406335 Jade Russell Nurse Practitioner 2205 W Morrell St, Jackson, MI 49203-1357 2020-08-10
1992315212 Patrecia Campbell Nurse Practitioner 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 2020-08-01
1669008926 Kristine Edwards Nurse Practitioner 723 Woodlawn Ave, Jackson, MI 49203-2921 2020-03-19
1295366391 Christy White Nurse Practitioner 363 Old Pinson Rd, Jackson, TN 38301-9576 2020-01-28
1972141620 Primary Care - Bemis, LLC Nurse Practitioner 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 2019-12-12
1174164263 Tami Anne Miller Nurse Practitioner 124 N Bast St, Jackson, MO 63755-1704 2019-10-01
1265080584 Cameron Nicole Howard Nurse Practitioner 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 2019-08-29
1831750843 Rhiannon Michelle Andresen Nurse Practitioner 1022 Greystone Sq, Jackson, TN 38305-3580 2019-06-21
1902376361 Jenay B Krumm Nurse Practitioner 1201 E Michigan Ave Ste 200, Jackson, MI 49201-1855 2018-11-28
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Competitor

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City JACKSON
Zip Code 39216

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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