JACKIE LYNN CANNON (NPI# 1144576273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144576273 |
| Entity Type | Individual |
| Full Name | JACKIE LYNN CANNON |
| Credential | LPN |
| Practice Address |
11226 Prairie Rd Jeffersonville OH 43128-9713 |
| Practice Telephone | 7404632526 |
| Mailing Telephone | 7404632526 |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | P.N 144265 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770628067 | Jackie B Cannon | Physical Therapist | 35111 Seagrass Plantation Ln, Dagsboro, DE 19939 | 2007-02-21 |
| 1144651753 | Jackie Cannon | Social Worker | 325 New Castle Rd, Butler, PA 16001-2418 | 2013-12-06 |
| Street Address |
11226 PRAIRIE RD |
| City | JEFFERSONVILLE |
| State | OH |
| Zip Code | 43128-9713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356875397 | Leslie Marie Stegall | Nurse Practitioner | 26a Railroad St, Jeffersonville, OH 43128 | 2017-04-17 |
| 1659841575 | Jefferson Township Fayette County | Ambulance | 28 S Main St, Jefferson Township, OH 43128-1019 | 2018-12-04 |
| 1174611867 | Jefferson Township | Ambulance | 28 S Main St, Jeffersonville, OH 43128-1019 | 2006-10-10 |
| 1790345981 | Lisa Wolffe | Nurse Practitioner | 9 Janes St, Jeffersonville, OH 43128-1045 | 2019-06-19 |
| 1790110096 | Kimberly Lynn Potter | Licensed Practical Nurse | 47 Darbyshire Dr, Jeffersonville, OH 43128-1104 | 2013-09-05 |
| 1811510050 | Sheila Irene Johnson | Home Health Aide | 489 Woodsview Sq Apt C, Jeffersonville, OH 43128-1132 | 2020-05-22 |
| 1134684871 | Samantha Renee Ritenour | Student in an Organized Health Care Education/Training Program | 3531 State Route 734, Jeffersonville, OH 43128-9753 | 2019-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598048 | Courtney Caffrey | Behavior Technician | 2916 Peach Blossom Dr Ste 104, Jeffersonville, IN 47130-8380 | 2020-11-04 |
| 1336748383 | Jjj Yaut, LLC | Custodial Care Facility | 4806 Ny 52, Jeffersonville, NY 12748 | 2020-10-21 |
| 1306444567 | Young Speech Therapy LLC | Speech-Language Pathologist | 3001 Peach Blossom Dr Apt 206, Jeffersonville, IN 47130-8495 | 2020-10-10 |
| 1184231037 | Crossover Health Medical Group | Clinic/Center | 434 Patrol Rd, Jeffersonville, IN 47130-7754 | 2020-09-24 |
| 1053926840 | Laura Raulerson | Physical Therapist | 2760 Jefferson Centre Way Ste 1, Jeffersonville, IN 47130-8266 | 2020-09-09 |
| 1417560152 | Kirby Kaseta | Pharmacist | 934 Spring St # 940, Jeffersonville, IN 47130-3639 | 2020-08-24 |
| 1942812870 | All Best Home Care, LLC | Homemaker | 1114 E 10th St, Jeffersonville, IN 47130-4227 | 2020-08-21 |
| 1023636248 | Katherine T Robinson | Health Educator | 249 Clif Reynolds Rd., Jeffersonville, VT 05464 | 2020-07-14 |
| 1811510050 | Sheila Irene Johnson | Home Health Aide | 489 Woodsview Sq Apt C, Jeffersonville, OH 43128-1132 | 2020-05-22 |
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| Find all providers in JEFFERSONVILLE | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487011987 | Connie Harbeson | Licensed Practical Nurse | 224 Bartholomew Blvd, Jeffersonville, IN 47130-7477 | 2016-01-28 |
| 1790110096 | Kimberly Lynn Potter | Licensed Practical Nurse | 47 Darbyshire Dr, Jeffersonville, OH 43128-1104 | 2013-09-05 |
| 1467774653 | Patricia Ann Scott | Licensed Practical Nurse | 16 Eltz Rd, Jeffersonville, NY 12748-5905 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841277 | Deja Shepard | Licensed Practical Nurse | 725 Hand Ave, Cincinnati, OH 45232-1736 | 2020-11-06 |
| 1932700309 | Heather Mershon | Licensed Practical Nurse | 1535 E Hickory Grove Rd, Urbana, OH 43078-9475 | 2020-11-03 |
| 1831799774 | Kristina Maria Sorbilli | Licensed Practical Nurse | 709 N Cable Rd Ste A, Lima, OH 45805-1737 | 2020-10-29 |
| 1659971745 | Christina Johanna Ambrose | Licensed Practical Nurse | 3779 Huntmere Ave, Austintown, OH 44515-3144 | 2020-10-28 |
| 1063012227 | Stephanie Ann Mcknight | Licensed Practical Nurse | 2513 Zircon St Ne, Canton, OH 44721-1762 | 2020-10-27 |
| 1043810435 | Victoria R Berry | Licensed Practical Nurse | 3814 Charter Oak Way, Columbus, OH 43219-6150 | 2020-10-27 |
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1457950826 | Crystal Rae Macey | Licensed Practical Nurse | 127 51st St Se, Canton, OH 44707-1013 | 2020-10-18 |
| 1205434982 | Elizabeth M Njuangang | Licensed Practical Nurse | 17603 Whitney Rd Apt 108, Strongsville, OH 44136-2447 | 2020-10-14 |
| 1023616117 | Verenda Deon Evans | Licensed Practical Nurse | 180 Brush Rd, Richmond Hts, OH 44143-1128 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSONVILLE |
| Zip Code | 43128 |
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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.