JACKIE NIXON-FULTON (NPI# 1255764916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255764916 |
| Entity Type | Individual |
| Full Name | JACKIE NIXON-FULTON |
| Credential | M.D. |
| Practice Address |
644 County Road 3550 Paradise TX 76073-3007 |
| Practice Telephone | 2145347726 |
| Mailing Telephone | 2145347726 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | F4330 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
644 COUNTY ROAD 3550 |
| City | PARADISE |
| State | TX |
| Zip Code | 76073-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518442946 | Chrystal Eustace | Registered Nurse | 342 Cr 3435, Paradise, TX 76073 | 2018-10-02 |
| 1710295415 | Paradise Isd | Local Education Agency (LEA) | 338 School House Rd, Paradise, TX 76073-2619 | 2010-09-16 |
| 1336507987 | Christopher J Stegman | Physician Assistant | 423 County Road 3355, Paradise, TX 76073-4661 | 2016-02-10 |
| 1437630498 | S Squared Assisting, LLC | Physician Assistant | 423 County Road 3355, Paradise, TX 76073-4661 | 2018-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1508499419 | Jessica Mcallister | Dietitian, Registered | 225 E 8650 S, Paradise, UT 84328 | 2020-02-19 |
| 1942860937 | Jenifer Esther Jesson | Dentist | 5125 Skyway Road, Paradise, CA 95969-5624 | 2019-06-20 |
| 1699234559 | Skala Chiropractic Inc | Chiropractor | 4413 Sierra Del Sol, Paradise, CA 95969 | 2019-03-19 |
| 1437618147 | Adventist Health Physicians Network | Radiology | 5125 Skyway Ste E, Paradise, CA 95969-5624 | 2019-03-13 |
| 1073086476 | Save Mart Supermarkets | Pharmacy | 6636 Clark Rd, Paradise, CA 95969-3554 | 2019-01-08 |
| 1518442946 | Chrystal Eustace | Registered Nurse | 342 Cr 3435, Paradise, TX 76073 | 2018-10-02 |
| 1467959155 | Jason Vance Md A Medical Corporation | Family Medicine | 6480 Pentz Rd Ste B, Paradise, CA 95969-3672 | 2018-04-09 |
| 1003322843 | Lorraine Marchant | Counselor | 5910 Clark Rd Ste T, Paradise, CA 95969-4860 | 2017-12-15 |
| 1073029971 | Count Right Inc | Pharmacy | 5954 Clark Rd, Paradise, CA 95969-4803 | 2017-12-14 |
| Find all providers in PARADISE | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255306098 | Richard D Zumwalt | Dermatology | 6283 Clark Rd, #9, Paradise, CA 95969-4100 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030456 | Andrew M. Quinn IIi, Md Pllc | Dermatology | 4110 Bellaire Blvd Ste 202, Houston, TX 77025-1057 | 2020-10-11 |
| 1639786999 | Carolyn Huyen Trieu | Dermatology | 7700 San Felipe St Ste 492, Houston, TX 77063-1630 | 2020-09-29 |
| 1366057861 | Young E Martin | Dermatology | 910 W Parker Rd Ste 210, Plano, TX 75075-2361 | 2020-09-11 |
| 1700498136 | Optimal Health and Skin LLC | Dermatology | 4701 Old Shepard Pl Ste 260, Plano, TX 75093-5250 | 2020-08-18 |
| 1962023077 | Bluebonnet Dermatology, Pllc | Dermatology | 935 W Exchange Parkway, Building B, Suite 130, Allen, TX 75013-7075 | 2020-04-29 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1518506054 | Duong Thuy Nguyen | Dermatology | 1134 Globe St, Houston, TX 77034-1109 | 2020-01-01 |
| 1558904953 | Lorin Brittney Anderson | Dermatology | 5928 Chisholm Trl, Mckinney, TX 75070-6464 | 2019-10-18 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
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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.