JENNA L. JACKSON (NPI# 1154945129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154945129 |
Entity Type | Individual |
Full Name | JENNA L. JACKSON |
Practice Address |
1608 Reynolds St Brunswick GA 31520-6731 |
Mailing Address |
148 Leeswood Cir Brunswick GA 31525-2496 |
Practice Telephone | 9122618906 |
Mailing Telephone | 4045455197 |
Enumeration Date | 2020-06-04 |
Last Update Date | 2020-06-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT006258 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437771888 | Jenna Marie Jackson | Student in an Organized Health Care Education/Training Program | 46 S Main St, Glen Carbon, IL 62034-1415 | 2020-05-08 |
1417334681 | Jenna Jackson | Dietitian, Registered | 11165 Sepulveda Blvd, Mission Hills, CA 91345-1113 | 2015-04-27 |
1265772297 | Jenna Rachel Jackson | Counselor | 5701 W Talavi Blvd, Suite 180, Glendale, AZ 85306-1886 | 2013-02-28 |
1780939249 | Jenna Marie Jackson | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2208 | 2012-07-19 |
Street Address |
1608 REYNOLDS ST |
City | BRUNSWICK |
State | GA |
Zip Code | 31520-6731 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861665465 | Glynn Chiropractic Assciates, PC | Point of Service | 1608 Reynolds St, Brunswick, GA 31520-6731 | 2008-04-04 |
1497364137 | Angela Worley | Massage Therapist | 1608 Reynolds St, Brunswick, GA 31520-6731 | 2020-07-29 |
1275141517 | Coastal Hypnosis Center | Point of Service | 1608 Reynolds St, Brunswick, GA 31520-6731 | 2020-07-22 |
1780292524 | Rebecca Elizabeth Godwin | Massage Therapist | 1608 Reynolds St, Brunswick, GA 31520-6731 | 2020-07-17 |
1801419056 | Deborah Lillian Riner | Nurse's Aide | 1608 Reynolds St, Brunswick, GA 31520-6731 | 2020-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
Find all providers in zip 31520 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790320273 | Lydia Rose Stilphen | Massage Therapist | 21 Stanwood St, Brunswick, ME 04011-2811 | 2019-11-08 |
1720647936 | Donna Lynne Hartzell | Massage Therapist | 816 6th Ave, Brunswick, MD 21716-1521 | 2019-06-11 |
1316503196 | Amanda Gould | Massage Therapist | 124 Maine St Ste 211, Brunswick, ME 04011-2078 | 2019-05-16 |
1144785890 | Brittany Ann Wallingford Blakemore | Massage Therapist | 9 Cumberland St, Brunswick, ME 04011-1903 | 2019-02-07 |
1750862322 | Terisa Parker | Massage Therapist | 16c Lincoln St, Brunswick, ME 04011-1912 | 2018-08-22 |
1255848636 | Bobby Jones | Massage Therapist | 2301 Parkwood Dr Ste 2, Brunswick, GA 31520-4720 | 2018-01-06 |
1366971392 | Donna P Motamedi | Massage Therapist | 30 Pittman Cir, Brunswick, GA 31520-1834 | 2017-06-04 |
1649505116 | Doris Joanne Forrest | Massage Therapist | 120 Geneldas Way, Brunswick, GA 31525-5619 | 2009-10-16 |
1740420363 | Hedy P Blauvelt | Massage Therapist | 8 Stanwood St # 3, Brunswick, ME 04011-2865 | 2009-02-21 |
1013155936 | Geraldine Newman | Massage Therapist | 153 Lake View Cir, Brunswick, GA 31525-3059 | 2009-01-30 |
Find all providers in BRUNSWICK |
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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.