MRS. KAREN JACKSON (NPI# 1124274774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124274774 |
| Entity Type | Individual |
| Full Name | MRS. KAREN JACKSON |
| Credential | CRNP |
| Practice Address |
107 Nicole Pl Daphne AL 36526-7614 |
| Practice Telephone | 2515336372 |
| Practice Fax Number | 8662824895 |
| Mailing Telephone | 2515336372 |
| Mailing Fax Number | 8662824895 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2009-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
ARNP9287293 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-087343 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | P00720964 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720550775 | Karen Jackson | Clinic/Center | 104 Taggart Dr, Steens, MS 39766-9563 | 2018-12-31 |
| 1417402603 | Karen Jackson | Counselor | 6564 Crescent Grn, West Bloomfield, MI 48322-1323 | 2016-08-17 |
| 1083095889 | Karen Jackson | Developmental Therapist | 4825 Paris Ave, Jacksonville, FL 32209-3052 | 2015-06-17 |
| 1982084380 | Karen Jackson | Behavioral Analyst | 18842 120th Rd, Saint Albans, NY 11412-3617 | 2015-06-02 |
| 1780955864 | Karen P. Jackson | Social Worker | 1105 Terminal Way Ste 202, Reno, NV 89502-2162 | 2012-01-20 |
| 1194013284 | Karen C. Jackson | Speech-Language Pathologist | 7449 Heatherfield Ln, Alexandria, VA 22315-5292 | 2011-07-11 |
| 1730481862 | Karen Gayle Jackson | Counselor | 605 E Berry St Ste 109, Fort Worth, TX 76110-4300 | 2010-11-22 |
| 1316268188 | Karen F Jackson | Chore Provider | 136 Dockside Dr, Jacksonville, NC 28546-9768 | 2010-06-16 |
| 1881899607 | Karen Jackson | Occupational Therapist | 378 Black Point Rd, Scarborough, ME 04074-8619 | 2007-06-20 |
| 1013111228 | Karen Lynette Jackson | Contractor | 2915 N 44th St, Milwaukee, WI 53210-1710 | 2007-06-12 |
| Street Address |
107 NICOLE PL |
| City | DAPHNE |
| State | AL |
| Zip Code | 36526-7614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173464 | H3o Living, LLC | Clinic/Center | 29000 U.S. 98, Daphne, AL 36526 | 2020-08-05 |
| 1790345403 | Gregory Conner Reese | Student in an Organized Health Care Education/Training Program | 27654 Red Eagle Drive, Daphne, AL 36526 | 2019-06-14 |
| 1649787912 | Jubilee Family Dentistry, LLC | Dentist | 6475 Jordan Avenue, Daphne, AL 36526 | 2018-01-08 |
| 1770090607 | Gary Andrew Gould | Physician Assistant | 28490 2nd St Ste B, Daphne, AL 36526 | 2017-12-31 |
| 1366957011 | Emily Jane Tisdale | Behavioral Analyst | 1203 Us Highway 98 Ste 2a9, Daphne, AL 36526 | 2017-12-04 |
| 1437680600 | Blair Hoffman Pringle | Nurse Practitioner | 26179 Capitol Drive Suite A, Daphne, AL 36526 | 2017-03-21 |
| 1275915324 | Simara Sokom | Pharmacist | 29487 State Highway 181, Daphne, AL 36526 | 2015-06-25 |
| 1366859126 | Seth Matthew Gross | Pharmacist | 101b Villa Drive, Suite B-260, Daphne, AL 36526 | 2014-07-14 |
| 1841627940 | Michelle Renae Counts | Counselor | 9086 Merritt Road Suite C, Williamsburg Plaza, Daphne, AL 36526 | 2013-10-03 |
| 1194066613 | Ryan Nobles | Chiropractor | 6483 Van Buren Street, Suite 101, Daphne, AL 36526 | 2013-03-07 |
| Find all providers in zip 36526 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802926 | Brittany Charlene Wickware | Nurse Practitioner | 28490 2nd St Ste B, Daphne, AL 36526-7150 | 2018-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441821 | Jordan Forsythe | Nurse Practitioner | 903 Faculty Office Tower 510 20th Street South, Birmingham, AL 35293-0001 | 2020-09-10 |
| 1972116242 | Adonis Carol Goodwin | Nurse Practitioner | 1201 11th Ave S Fl 4, Birmingham, AL 35205-3423 | 2020-08-26 |
| 1912519091 | Latresa Chaval Davis | Nurse Practitioner | 3737 Government Blvd Ste 408, Mobile, AL 36693-4362 | 2020-08-19 |
| 1144847930 | Lauren Elizabeth Dial | Nurse Practitioner | 5025 Ewell Ln, Irondale, AL 35210-3305 | 2020-06-29 |
| 1801412952 | William Ryan Lemon | Nurse Practitioner | 701 19th St S # Lhr748, Birmingham, AL 35233-1926 | 2020-06-24 |
| 1831718808 | Cheng Wei Hseu | Nurse Practitioner | 701 19th St S # Lhrb112, Birmingham, AL 35233-1926 | 2020-04-10 |
| 1417580705 | Elizabeth Fay Wasylow | Nurse Practitioner | 1022 County Road 28, Scottsboro, AL 35768-6458 | 2020-02-15 |
| 1124659487 | Shanita Peoples | Nurse Practitioner | 23 Midtown Park W Ste B-1, Mobile, AL 36606-4139 | 2020-01-27 |
| 1104456920 | Southern Divine Family Medical Center LLC | Nurse Practitioner | 7130 6th Ave, Altoona, AL 35952-9052 | 2020-01-21 |
| 1902442270 | Candace Haake Hill | Nurse Practitioner | 619 19th St S # Wp302, Birmingham, AL 35249-1900 | 2019-11-21 |
| 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.