BRANDON LAMARR JACKSON (NPI# 1275046153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275046153 |
| Entity Type | Individual |
| Full Name | BRANDON LAMARR JACKSON |
| Practice Address |
400 Brunswick St Mooresville NC 28115-2246 |
| Mailing Address |
400 Brunswick St. 420 Mooresville NC 28115-2246 |
| Practice Telephone | 7049771412 |
| Mailing Telephone | 7049771412 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083163521 | Brandon Jackson | Student in an Organized Health Care Education/Training Program | 122 Lanier Dr, 322c, Statesboro, GA 30458-0804 | 2016-09-26 |
| 1881030310 | Brandon Christopher Jackson | Military Health Care Provider | 6810 Camphor Ln, San Diego, CA 92139 | 2013-05-10 |
| 1861753949 | Brandon Joshua Jackson | Dentist | 70 Virginia Ave, Staten Island, NY 10305-1748 | 2012-06-05 |
| 1952340671 | Brandon Leroy Jackson | Physical Therapist | 4765 S. Durango Dr., Ste 106, Las Vegas, NV 89147 | 2006-06-06 |
| 1457994634 | Brandon Jackson | Rehabilitation Practitioner | 1873 W 54th St, Los Angeles, CA 90062-2604 | 2019-10-21 |
| 1427611151 | Brandon Clark Jackson | Social Worker | 42-77 65th Place, Woodside, NY 11377-5054 | 2019-04-18 |
| 1831658640 | Brandon Thomas Jackson | Plastic Surgery | 251 E Huron St, Chicago, IL 60611-3055 | 2019-03-19 |
| 1164952644 | Brandon Scott Jackson | Behavior Technician | 1200 W South Boulder Rd Ste 204, Lafayette, CO 80026-2833 | 2017-06-15 |
| 1578896031 | Brandon T. Jackson | Chiropractor | 1258 Bryan Rd, O Fallon, MO 63366-3771 | 2009-09-15 |
| Street Address |
400 BRUNSWICK ST |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28115-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172338 | Shawn Booth | Counselor | 111 Laporte Lane, Mooresville, NC 28115 | 2020-04-02 |
| 1407418262 | Carlyn Jean Malenfant | Dentist | Loveland Dental Group of Mooresville, 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-07-02 |
| 1619435906 | Loveland Dental Group of Mooresville | Dentist | 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-03-06 |
| 1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
| 1063869469 | Amber Hicks-thibodeau | Family Medicine | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | 2016-05-16 |
| 1003286774 | Lauren Holscher | Speech-Language Pathologist | 3369 Deal Rd, Mooresville, NC 28115 | 2015-10-06 |
| 1629460217 | Jenny S Ryerson | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115 | 2015-02-19 |
| 1720495435 | Lindsey Gardner | Pharmacist | 966 E Iredell Ave., Mooresville, NC 28115 | 2014-07-14 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1528312600 | Ronnie G. Davidson II Dmd Pa | Dentist | 134 N. Magnolia St., Mooresville, NC 28115 | 2012-10-29 |
| Find all providers in zip 28115 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028704 | Natalie N Honeycutt | Homemaker | 1447 19th Ave Ne, Hickory, NC 28601-2159 | 2020-06-17 |
| 1194346643 | Shelly Marie Edwards | Homemaker | 7800 Wilkinson Blvd, Charlotte, NC 28214-9148 | 2020-05-06 |
| 1053943514 | Teniece R Tarver | Homemaker | 7436 William Reynolds Dr, Charlotte, NC 28215-2349 | 2020-02-12 |
| 1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
| 1750924296 | Meskerem Bzaga | Homemaker | 624 Belle Gate Pl, Cary, NC 27519-8958 | 2019-10-28 |
| 1114586906 | Trinea Jones | Homemaker | 19071 North Carolina Highway 903, Robersonville, NC 27871 | 2019-06-06 |
| 1144888488 | Destinee Markia Gardner | Homemaker | 525 Seville Rd, Greenville, NC 27834-4890 | 2019-06-02 |
| 1598321432 | Tammy Squires Lee | Homemaker | 1820 Ambrose Ln, Farmville, NC 27828-9510 | 2019-05-16 |
| 1427614791 | Inisha B Sams | Homemaker | 2017 Sonoma Valley Dr, Charlotte, NC 28214-7703 | 2019-05-13 |
| 1407343957 | Lekeysha Ayenumelo | Homemaker | 1408 Hampstead Dr, High Point, NC 27260-4237 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 28115 |
Please comment or provide details below to improve the information on BRANDON LAMARR 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.