ARNICE JACKSON (NPI# 1154763126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154763126 |
| Entity Type | Individual |
| Full Name | ARNICE JACKSON |
| Credential | NPCH |
| Practice Address |
489 5th Ave Fl 3 New York NY 10017-6145 |
| Mailing Address |
1 Embarcadero Ctr Ste 1900 San Francisco CA 94111-3723 |
| Practice Telephone | 2124400658 |
| Mailing Telephone | 4156586791 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
320087 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 276-280 Robinson St, Binghamton, NY 139041659 | 6077717234 | 6077725979 |
| Street Address |
489 5TH AVE FL 3 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10017-6145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659351625 | Dana Osipower | Physician Assistant | 489 5th Ave Fl 3, New York, NY 10017-6145 | 2006-01-18 |
| 1013456334 | Karissa Braden | Nurse Practitioner | 489 5th Ave Fl 3, New York, NY 10017-6145 | 2017-02-20 |
| 1619323961 | Ada Elisa Londono | Internal Medicine | 489 5th Ave Fl 3, New York, NY 10017-6145 | 2016-05-05 |
| 1891137162 | Margaret D Taylor | Nurse Practitioner | 489 5th Ave Fl 3, New York, NY 10017-6145 | 2013-07-26 |
| 1760635056 | Emily Aden Rindler | Registered Nurse | 489 5th Ave Fl 3, New York, NY 10017-6145 | 2008-10-30 |
| 1689826687 | Lea J Meine | Physician Assistant | 489 5th Ave Fl 3, New York, NY 10017-6145 | 2008-10-21 |
| 1609026178 | Eddie Meraz | Nurse Practitioner | 489 5th Ave Fl 3, New York, NY 10017-6145 | 2008-09-22 |
| 1043478795 | Bret Charles Jacobs | Family Medicine | 489 5th Ave Fl 3, New York, NY 10017-6145 | 2008-05-29 |
| 1538387964 | Jacob Katz | Family Medicine | 489 5th Ave Fl 3, New York, NY 10017-6145 | 2007-04-23 |
| 1578683587 | Juliette Grant Blount | Registered Nurse | 489 5th Ave Fl 3, One Medical Group, New York, NY 10017-6145 | 2007-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700424702 | Amanda Arielle Grannum | Social Worker | 227 E 41st Street, New York, NY 10017 | 2019-12-20 |
| 1205399748 | Jasmine Marie Williams | Social Worker | Comprehensive Therapeutic Services, 450 Lexington Ave, Fourth Floor, New York, NY 10017 | 2019-04-11 |
| 1093208415 | Kaylin Salubro | Nurse Practitioner | 18 E 41st St Fl 12, New York, NY 10017 | 2018-06-11 |
| 1932698792 | Bryan Cordes | Social Worker | 295 Madison Avenue, Suite 707, New York, NY 10017 | 2018-05-08 |
| 1376048173 | Matthew Bernstein, M.d. Pllc | Psychiatry & Neurology | 370 Lexington Avenue, Suite 1001, New York, NY 10017 | 2018-03-26 |
| 1285137430 | Midtown East Podiatry and Foot Surgery L.L.C. | Podiatrist | 230 E 48th St., #1b, New York, NY 10017 | 2018-03-14 |
| 1831692136 | Olga S Pankiv | Nurse Practitioner | 545 5th Avenue Suite 817, 545 5th Avenue Suite 817, New York, NY 10017 | 2018-03-13 |
| 1023523198 | Randa Jaafar Md,pc | Pain Medicine | 340 East 49th St., Ground Floor, New York, NY 10017 | 2017-12-11 |
| 1962912154 | Yonatan Moshe Sobin | Psychologist | 370 Lexington Ave Rm 1000, New York, NY 10017 | 2017-10-03 |
| 1558880344 | Jendayi Polite | Counselor | 100 Park Ave Fl 16, New York, NY 10017 | 2017-09-13 |
| Find all providers in zip 10017 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362042 | Sasha Winslow | Nurse Practitioner | 60 Madison Ave Fl 5, New York, NY 10010-1600 | 2020-06-29 |
| 1053715243 | Edwin A Torres | Nurse Practitioner | 3418 Broadway, 2nd Floor, New York, NY 10031 | 2014-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947307 | Desiree Janell Darrisaw | Nurse Practitioner | 680 Tinton Ave Apt 7b, Bronx, NY 10455-2217 | 2020-06-24 |
| 1801323365 | Stacey Hope Rosman | Nurse Practitioner | 33 Mitchell Ave Ste 204, Binghamton, NY 13903-1642 | 2017-05-16 |
| 1407237647 | Afix Famosa | Nurse Practitioner | 1100 Ivy Ridge Rd Apt 31, Syracuse, NY 13210-4129 | 2015-06-12 |
| 1760604128 | Terry Lee Harding | Nurse Practitioner | United Occupational Medicine, 33 Mitchell Ave #204, Binghamton, NY 13403 | 2007-05-03 |
| 1295828879 | Kevin Francis Brennan | Nurse Practitioner | 218 Stone St, Watertown, NY 13601 | 2006-10-02 |
| 1649212697 | Dante D Mastronardi | Nurse Practitioner | 229-231 State St Fl 4, Binghamton, NY 13901-2756 | 2006-06-12 |
| 1952374886 | Allison Jennett German | Nurse Practitioner | 1 Rudolph Rd., Walker Health Center Suny Oswego, Oswego, NY 13126 | 2006-02-10 |
| 1114537065 | Sarah Batschelet | Nurse Practitioner | 209 W State St, Ithaca, NY 14850-5489 | 2020-08-05 |
| 1184186595 | Joyce Ellen Hyatt | Nurse Practitioner | 36 Meadow Dr, Big Flats, NY 14814-7948 | 2019-04-03 |
| 1801353784 | Balog Nurse Practitioner In Family Health Pllc | Nurse Practitioner | 254 Church St, Saratoga Springs, NY 12866-1037 | 2019-02-27 |
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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.