MS. JOELLE JACKSON


Address: 840 W Irving Park Rd, Suite 301, Chicago, IL 60613-3011
Phone: 8886604425

MS. JOELLE JACKSON (NPI# 1215395652) 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) 1215395652
Entity Type Individual
Full Name MS. JOELLE JACKSON
Credential NP
Practice Address 840 W Irving Park Rd
Suite 301
Chicago
IL 60613-3011
Practice Telephone 8886604425
Mailing Telephone 8886604425
Enumeration Date 2016-01-30
Last Update Date 2016-01-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 209013571 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 840 W IRVING PARK RD
SUITE 301
City CHICAGO
State IL
Zip Code 60613-3011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346298932 Chicago Prosthetics, Inc Durable Medical Equipment & Medical Supplies 840 W Irving Park Rd, Suite 207, Chicago, IL 60613-3011 2006-05-05
1598282329 Damian Janusz Skalak Physical Therapist 840 W Irving Park Rd, Chicago, IL 60613-3011 2017-08-23
1356707111 Lubov Bakman Clinical Nurse Specialist 840 W Irving Park Rd, 301, Chicago, IL 60613-3011 2016-01-10
1588030373 Grezelro Gonzales Nurse Practitioner 840 W Irving Park Rd, 301, Chicago, IL 60613-3011 2015-08-15
1124412168 Katie Rahoi Registered Nurse 840 W Irving Park Rd, Ste 301, Chicago, IL 60613-3011 2015-03-27
1083005268 Zivile Calderon Nurse Practitioner 840 W Irving Park Rd, Ste 301, Chicago, IL 60613-3011 2015-02-10
1720478829 Christian De Guia Nurse Practitioner 840 W Irving Park Rd, Ste 301, Chicago, IL 60613-3011 2015-01-27
1871983288 Erin Lark Nurse Practitioner 840 W Irving Park Rd, Suite 301, Chicago, IL 60613-3011 2015-01-23
1295159846 Michele Bey Nurse Practitioner 840 W Irving Park Rd, Ste 301, Chicago, IL 60613-3011 2014-02-18
1013253384 Elena Petrusevska Physician Assistant 840 W Irving Park Rd, Ste 301, Chicago, IL 60613-3011 2012-12-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588261978 Thorek Radiology Group Nfp Radiology 850 West Irving Park Road, Chicago, IL 60613 2020-10-08
1760034128 Maryellen Karas Lajeunesse Social Worker 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 2019-07-15
1801366430 Stephanie A Dykema Psychologist 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 2018-11-27
1487154191 Alan Tsang Counselor 655 W Irving Park Rd Ste 203, Chicago, IL 60613 2018-02-19
1972015782 Integrated Ortho, LLC. Durable Medical Equipment & Medical Supplies 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 2017-11-02
1073048005 Claire Jolly Social Worker 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 2017-04-27
1730626011 Marc Fagan Psychologist 4101 N Ravenswood Ave., Chicago, IL 60613 2017-01-25
1205385671 Sara Turner Psychologist 3855 N Greenview Ave # 2a, Chicago, IL 60613 2016-09-27
1962955997 Michelle Montero Psychologist 925 W Dakin St Apt 405, Chicago, IL 60613 2016-07-26
1063883494 Athletico, Ltd Physical Therapist 3922 North Sheridan Rd, Chicago, IL 60613 2015-10-12
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477151272 Yolanda K Bradford Nurse Practitioner 2700 S California Ave, Chicago, IL 60608-5108 2020-10-14
1073125431 Faith M Langtiw Nurse Practitioner 2704 W Catalpa Ave, Chicago, IL 60625-3216 2020-08-18
1871114025 Quickcare, Pllc Nurse Practitioner 6419 W Touhy Ave Apt 4a, Chicago, IL 60646-1040 2020-04-29
1376170894 Julia Jekli Nurse Practitioner 365 N Halsted St Apt 3009, Chicago, IL 60661-1379 2020-03-25
1821623281 Rina Delapena Nurse Practitioner 5630 N Sheridan Rd Apt 319, Chicago, IL 60660-4810 2020-03-06
1902439193 Iwona Boska Nurse Practitioner 676 N St.clair Street, Suite 2140, Chicago, IL 60611 2020-02-17
1962032813 Sonia Ivelis Fernandez Nurse Practitioner 6129 N Campbell Ave Apt 1, Chicago, IL 60659-2809 2020-01-20
1164060257 Julie Ann Daniels Nurse Practitioner 5808 W Eddy St, Chicago, IL 60634-4351 2019-12-19
1720625593 Bogdana Gryniv Nurse Practitioner 5758 S Maryland Ave Ste 5a, Chicago, IL 60637-1426 2019-11-29
1023669835 Carlette Bailey Nurse Practitioner 6700 S Oglesby Ave Apt 1204, Chicago, IL 60649-1373 2019-09-23
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Competitor

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City CHICAGO
Zip Code 60613

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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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