LISA JACKSON


Address: 20111 Horace Harding Expy, Oakland Gardens, NY 11364-1639
Phone: 3476249688

LISA JACKSON (NPI# 1154711166) 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) 1154711166
Entity Type Individual
Full Name LISA JACKSON
Practice Address 20111 Horace Harding Expy
Oakland Gardens
NY 11364-1639
Practice Telephone 3476249688
Enumeration Date 2015-01-28
Last Update Date 2015-01-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
Behavioral Health & Social Service Providers

Other Providers LISA JACKSON

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1831468420 Lisa Nicole Jackson Licensed Practical Nurse 1599 Prospect Pl Apt 1e, Brooklyn, NY 11233-4451 2011-12-28
1992023030 Lisa Jackson Massage Therapist 7200 Sw 8th Ave Apt 9, Gainesville, FL 32607-1883 2010-05-13
1487844973 Lisa Nicole Jackson Obstetrics & Gynecology 89-06 135th St, Room 6a, Jamaica, NY 11418 2007-07-31
1497828826 Lisa Lanette Jackson Nurse Practitioner 1117 Chestnut St, Lewisville, AR 71845 2006-11-15
1972696516 Lisa Thompson Jackson Nurse Anesthetist, Certified Registered 1500 E. Woodrow Wilson, Jackson, MS 39216 2006-10-02
1659980738 Lisa Ann Jackson Counselor 956 E Tabor Ave, Fairfield, CA 94533-4104 2020-07-24

Office Location

Street Address 20111 HORACE HARDING EXPY
City OAKLAND GARDENS
State NY
Zip Code 11364-1639

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013566363 Emily D'auria Counselor Fort Totten Bldg 413a, Bayside, NY 11364 2019-09-10
1780154377 Cherry Ye Pharmacist 5601 215th St, Bayside Hills, NY 11364 2018-11-27
1114420825 Chuenbong Jonathan Ho Dentist 6154 Springfield Blvd, Oakland Gardens, NY 11364 2018-03-09
1700303419 Jason Jin Li Pharmacist 58 32 218st, Bayside, NY 11364 2017-08-23
1265958342 Rebecca Adar Occupational Therapist 78- 26 220th Place, Bayside, NY 11364 2017-08-21
1700320298 Approaches In Learning for Special Kids Inc Home Health 73-11 210th Street, Apt 3n, Oakland Gardens, NY 11364 2016-12-19
1811448665 Connie Aronson Specialist 208-10 Richland Avenue, Hollis Hills, NY 11364 2016-10-17
1154716892 Dianne James Physical Therapy Assistant 224-09b 67th Avenue, Oakland Gardens, NY 11364 2015-03-31
1558779447 Lai Chu Elizabeth Sin Occupational Therapist 22459a Kingsbury Avenue, Oakland Gardens, NY 11364 2014-07-24
1023459849 William Choi Pharmacist 21970 64th Ave #c, Bayside, NY 11364 2013-07-09
Find all providers in zip 11364

Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548860612 Zoe Spiegel Psychologist 20 Harding Dr, New Rochelle, NY 10801-4610 2020-10-28
1053910059 Erin Elizabeth Gurdineer Psychologist 131 South Third St, Northville, NY 12134-0608 2020-10-21
1114534310 Alana May Sandberg Psychologist 10421 68th Dr Apt A20, Forest Hills, NY 11375-3475 2020-09-30
1437766177 Danielle Brudner Psychologist 18 Cygnet Rd, Congers, NY 10920-1790 2020-09-27
1023624145 Karleen Marie Gabriel Psychologist 35 Steven Pl, Smithtown, NY 11787-5419 2020-09-23
1730795832 Erin A Hyle Psychologist 9 Maywood Ave, Rye Brook, NY 10573-2401 2020-09-23
1083220826 Tina Ruggiero Psychologist 61 Fox Ct, Manorville, NY 11949-2613 2020-09-17
1952917650 Margaret Jane Willard Psychologist 167 15th St Apt 2l, Brooklyn, NY 11215-4849 2020-09-17
1902410137 Dana Levine Psychologist 7 Chester Dr, Great Neck, NY 11021-4904 2020-09-04
1871107946 Michele D Jefferson Psychologist 66 Main St Apt 525, Yonkers, NY 10701-8853 2020-09-04
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Competitor

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City OAKLAND GARDENS
Zip Code 11364

Improve Information

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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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