JOANN KATE JACKSON (NPI# 1265755524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265755524 |
| Entity Type | Individual |
| Full Name | JOANN KATE JACKSON |
| Credential | PAC |
| Practice Address |
1099 Medical Center Dr Suite 201 Wilmington NC 28401-7346 |
| Practice Telephone | 9102519944 |
| Practice Fax Number | 9107634666 |
| Mailing Telephone | 9102519944 |
| Mailing Fax Number | 9107634666 |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2011-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
001002237 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194971853 | Joann Jackson | Occupational Therapy Assistant | 3442 W 73rd Pl, Chicago, IL 60629-3514 | 2008-08-13 |
| 1891218152 | Joann Jackson | Nurse Practitioner | 127 Anderson St Ste 101, Pittsburgh, PA 15212-5803 | 2017-07-19 |
| 1487701926 | Joann A Jackson | Obstetrics & Gynecology | 1145 19th St Nw, #410, Washington, DC 20036 | 2007-01-05 |
| 1588765630 | Joann Jackson | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-09-25 |
| 1194739904 | Joann Michelle Jackson | Psychologist | 403 E Madison St, South Bend, IN 46617-2322 | 2006-07-28 |
| Street Address |
1099 MEDICAL CENTER DR SUITE 201 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871550061 | Patricia Bunch Hood | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2006-05-01 |
| 1306312277 | Brianna Wheeler | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2018-10-18 |
| 1063958890 | Sunlight Medical Clinic Pllc | Clinic/Center | 1099 Medical Center Dr, Suite 100-a, Wilmington, NC 28401-7346 | 2017-01-18 |
| 1871043109 | Atlantic Dermatology, Pa | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2016-10-11 |
| 1871951145 | Morgan Davis | Physician Assistant | 1099 Medical Center Dr, Suite 101, Wilmington, NC 28401-7346 | 2016-02-02 |
| 1922494095 | Dana Marie Baigrie | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2015-04-15 |
| 1245578921 | Dermone of North Carolina Pa | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2013-01-30 |
| 1992020549 | Rebecca Erin Stigall | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2010-04-06 |
| 1417150236 | Coastal Urology Pllc | Urology | 1099 Medical Center Dr, Ste 101, Wilmington, NC 28401-7367 | 2007-06-08 |
| 1003848540 | Victor E Abraham | Urology | 1099 Medical Center Dr, Ste 101, Wilmington, NC 28401-7353 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244471 | Caroline Gooch Reynolds | Physician Assistant | 340 Sabra Dr, Wilmington, NC 28405-3833 | 2020-01-13 |
| 1821658675 | Matthew Hisler Hrin | Physician Assistant | 5209 W Woodmill Dr Ste 35, Wilmington, DE 19808-4068 | 2019-06-14 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1568833010 | N. Barton & Associates Inc. | Physician Assistant | 3629 Old Capitol Trl, Wilmington, DE 19808-6025 | 2015-10-09 |
| 1770950305 | Angelica Jackson | Physician Assistant | 1982 Eastwood Rd, Wilmington, NC 28403-7213 | 2015-08-31 |
| 1396015939 | Access Internal Medicine, PC | Physician Assistant | 1606 Wellington Ave Ste A, Wilmington, NC 28401-7704 | 2012-01-11 |
| 1679741987 | Amy L Strasser | Physician Assistant | 2700 Silverside Rd Ste 2, Wilmington, DE 19810-3724 | 2008-02-20 |
| 1932387842 | Gabrielle Logan Neal-barney | Physician Assistant | 2301 Delaney Ave, Wilmington, NC 28403-6012 | 2008-02-01 |
| 1528247244 | Teresa A. Holler | Physician Assistant | 4000 Shipyard Blvd Ste 120, Wilmington, NC 28403-6194 | 2007-10-30 |
| 1902922677 | Robert Anthony Disibio Jr. | Physician Assistant | 3322 Silverside Rd, Wilmington, DE 19810 | 2007-03-22 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on JOANN KATE JACKSON.
| 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.