JOANNE JACKSON (NPI# 1124219605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
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 |
Street Address |
412 S CHANEY AVE |
City | BRINKLEY |
State | AR |
Zip Code | 72021 |
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 Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
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] |
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 |
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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.