DENISE ANN JACKSON (NPI# 1124263710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124263710 |
| Entity Type | Individual |
| Full Name | DENISE ANN JACKSON |
| Credential | LMT |
| Practice Address |
204 E Main St Palmyra NY 14522-1128 |
| Practice Telephone | 3155975518 |
| Mailing Telephone | 3155975518 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 010321 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736275 | Denise Jackson | Massage Therapist | 102 Arborwood Dr, Anderson, SC 29621-5865 | 2020-09-23 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1720403256 | Denise Ann Jackson | Social Worker | 1003 N Griffin Ave, Okmulgee, OK 74447-2512 | 2014-02-20 |
| 1982984118 | Denise Jackson | Case Manager/Care Coordinator | 1704 Highway 69, Trumann, AR 72472 | 2011-08-19 |
| 1871545772 | Denise L Jackson | Family Medicine | 10043 W Lincoln Hwy, Frankfort, IL 60423-1272 | 2006-05-17 |
| 1295732071 | Denise Serotta Jackson | Physical Therapist | Stephen W. Bassin, P.t., P.C., 32 Sherman Ave, Glen Falls, NY 12801 | 2005-07-07 |
| 1669030649 | Denise Jackson | Counselor | 200 Casentini St, Salinas, CA 93907-2299 | 2019-06-04 |
| 1669930616 | Denise Jackson | Technician | 3110 Esther Pl Se, Washington, DC 20032-1505 | 2019-03-08 |
| 1538675632 | Denise Diane Jackson | Counselor | 1545 W 25th St, Cleveland, OH 44113-3158 | 2017-12-27 |
| 1093089906 | Denise Jackson | Physical Therapy Assistant | 10300 Southwest Hwy, Chicago Ridge, IL 60415-1426 | 2012-02-24 |
| Street Address |
204 E MAIN ST |
| City | PALMYRA |
| State | NY |
| Zip Code | 14522-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689909863 | Betsy Wray Hernandez | Registered Nurse | 3046 Sherwood Rd., Palmyra, NY 14522 | 2009-10-06 |
| 1639202815 | Stacey Tinker Welch | Social Worker | 200 Church St, Suite 110, Palmyra, NY 14522 | 2007-03-14 |
| 1184767873 | John Michael Masterson Jr. | Dentist | 402 W Main St, Palmyra, NY 14522-1004 | 2007-02-14 |
| 1619220662 | Jessica Dekdebrun | Licensed Practical Nurse | 201 Park Dr, Palmyra, NY 14522-1113 | 2012-10-16 |
| 1538318050 | Newport Medical, Pllc | Clinic/Center | 221 E Main St, Palmyra, NY 14522-1127 | 2008-09-09 |
| 1265446520 | Malcolm M Riggs | General Practice | 201 E Main St, Palmyra, NY 14522-1127 | 2006-07-29 |
| 1396704060 | Karen May Nickell | Family Medicine | 221 E Main St, Palmyra, NY 14522-1127 | 2006-03-21 |
| 1750820114 | Amanda Wendt | Pharmacist | 214 E Main St, Palmyra, NY 14522-1128 | 2017-02-18 |
| 1144668559 | Palmyra Pharmacy LLC | Pharmacy | 214 E Main St, Palmyra, NY 14522-1128 | 2013-06-07 |
| 1275673030 | Tonya Jean Decann | Chiropractor | 214 E Main St, Palmyra, NY 14522-1128 | 2007-02-08 |
| Find all providers in zip 14522 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598901563 | Lisa Carolyn Cox | Specialist | 30940 Four Corner Rd, Palmyra, IL 62674-4506 | 2008-12-22 |
| 1598960999 | Janet Lynn Streepey | Specialist | 691 Main St Ne, Palmyra, IN 47164-8894 | 2007-06-18 |
| 1265417661 | Harmony Therapy and Wellness, LLC | Specialist | 2065 Highway A, Palmyra, MO 63461-2038 | 2005-12-08 |
| 1467763664 | Liberation Fitness | Specialist | 218 E 4th St, Palmyra, NJ 08065-1506 | 2010-06-23 |
| 1639286859 | Elizabeth Harmening | Specialist | 2065 Highway A, Palmyra, MO 63461-2038 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639099 | Munisa Mukhamatkulova | Specialist | 1133 E 73rd St, Brooklyn, NY 11234-5409 | 2020-11-06 |
| 1881295681 | Kirsten Skidmore | Specialist | 5924 Cleary Rd, Livonia, NY 14487-9726 | 2020-11-06 |
| 1740881846 | Deborah Singer X | Specialist | 6 Equestrian Ln Apt 8, Saratoga Springs, NY 12866-1053 | 2020-11-04 |
| 1619578929 | Ann Marie Spratt | Specialist | 3248 Sentinel Heights Road, Lafayette, NY 13084 | 2020-11-03 |
| 1215538863 | New Era Diagnostics Inc | Specialist | 8815 168th St, Suite 1r, Jamaica, NY 11432-4305 | 2020-11-02 |
| 1699376251 | Ilona Gamer | Specialist | 2525 E 23rd St, Brooklyn, NY 11235-2505 | 2020-11-02 |
| 1891395463 | Mk Star Inc | Specialist | 104 Linwood Ave, Staten Island, NY 10305-4400 | 2020-10-31 |
| 1649870981 | David Abrahams | Specialist | 22016 138th Ave, Laurelton, NY 11413-2325 | 2020-10-27 |
| 1477152122 | Kevin D Spencer | Specialist | 12027 Nashville Blvd Apt 1, Saint Albans, NY 11412-3829 | 2020-10-23 |
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| 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.