JOANNE JACKSON


Address: 412 S Chaney Ave, Brinkley, AR 72021
Phone: 5016263777

JOANNE JACKSON (NPI# 1124219605) 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) 1124219605
Entity Type Individual
Full Name JOANNE JACKSON
Practice Address 412 S Chaney Ave
Brinkley
AR 72021
Practice Telephone 5016263777
Practice Fax Number 8709724911
Mailing Telephone 5016263777
Mailing Fax Number 8709724911
Enumeration Date 2007-08-08
Last Update Date 2020-01-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
AR Nursing Service Related Providers
N 3747P1801X Technician
Specialization: Personal Care Attendant
AR Nursing Service Related Providers

Other Providers JOANNE JACKSON

NPI Name Taxonomy Address Enumeration
1871711291 Joanne Jackson Psychologist 104 Grand St, Croton On Hudson, NY 10520-2305 2007-04-23
1891835013 Joanne Marie Jackson Speech-Language Pathologist 12800 Copper Ave Ne, Apache Es, Albuquerque, NM 87123-1647 2007-02-07
1992750632 Joanne V Jackson Pediatrics 595 Hurrincane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 2006-05-23
1871144188 Joanne Jackson Licensed Practical Nurse 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 2019-09-27
1417074675 Joanne Kelly Jackson Counselor 205 Se 3rd Ave, Hillsboro, OR 97123-4093 2007-03-23
1013099795 Joanne Jackson Nurse Practitioner 3300 Main St, 2nd Floor, Suite A, Springfield, MA 01107-1112 2006-10-20

Office Location

Street Address 412 S CHANEY AVE
City BRINKLEY
State AR
Zip Code 72021

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386293041 Brinkley Family Pharmacy Pharmacy 1415 Pinecrest Suite 8, Brinkley, AR 72021 2019-09-05
1225278633 Adrian Cornelio, P.a. Physical Therapist 1116 N New York St Extension, Brinkley, AR 72021 2009-02-25
1518007947 Home Care Medical System Inc Durable Medical Equipment & Medical Supplies 105 South New Orleans Avenue, Brinkley, AR 72021 2007-02-07
1962500215 Joseph S Barker Dentist 206 North Main, Brinkley, AR 72021 2006-09-20
1649200890 Southern Paramedic Service Inc Ambulance 210 N New Orleans Street, Brinkley, AR 72021 2006-07-04
1245406107 Counseling Consultants Clinic/Center 120 South Main Street, Brinkley, AR 72021 2008-05-01
1326033515 Medi-mart Pharmacy Inc Pharmacy 1415 Pinecrest Shopping Ctr, Brinkley, AR 72021-2000 2005-09-14
1801025549 Freds Stores of Tennessee Inc Durable Medical Equipment & Medical Supplies 1415 Pinecrest Shopping Ctr, Brinkley, AR 72021-2000 2009-07-02
1275974206 Sam R Curry Pharmacist 1311 N Charlyne Ave, Brinkley, AR 72021-2001 2013-07-06
1639198229 Sherry Armstrong Clinical Nurse Specialist 490 Broadmoor Dr, Brinkley, AR 72021-2057 2006-07-18
Find all providers in zip 72021

Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336748573 Tammy Dawn Mckeehan Technician 29888 Highway 84, Malvern, AR 72104-8538 2020-10-20
1346855038 Kimberly Ferguson Technician 4103 Reynolds Park Road, Paragould, AR 72450-2118 2020-09-10
1871104182 Michele Lynn Jones Technician 2905 Stonegate Dr, Paragould, AR 72450 2020-08-11
1518584077 Robert Ray Davis Technician 1519 Mulberry Salem Rd, Benton, AR 72019-8253 2020-07-01
1477179422 Bianca Smith Technician 136 Pecan St, Marked Tree, AR 72365-1926 2020-06-24
1508482001 Mid-south Personal Care Agency, LLC Technician 83 Harvard Rd, Marion, AR 72364-9738 2020-06-19
1568098036 Lynn Hodge Technician 18803 Strawberry Plant Rd, Fayetteville, AR 72704-8587 2020-03-17
1225663073 Martha Hall Technician 144 Morningside Drive, Marion, AR 72364 2020-03-11
1053945352 Robert Leroy Johnson Technician 29 Tucker Rd, Hardy, AR 72542-9115 2020-02-25
1700410263 Jessica Smith Technician 4112 Sugar Maple Ln, Little Rock, AR 72223-2161 2020-02-24
Find all providers with the same taxonomy

Competitor

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City BRINKLEY
Zip Code 72021

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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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