JESSICA JACKSON (NPI# 1275998858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275998858 |
| Entity Type | Individual |
| Full Name | JESSICA JACKSON |
| Practice Address |
1955 N Valley Dr Las Cruces NM 88007-5154 |
| Mailing Address |
Po Box 370 Hatch NM 87937-0370 |
| Practice Telephone | 5755232772 |
| Practice Fax Number | 5755242993 |
| Mailing Telephone | 5752673280 |
| Mailing Fax Number | 5752671747 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
38397 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759594 | Jessica Ashley Jackson | Social Worker | 310 W Mckinley Ave, Mishawaka, IN 46545-5600 | 2020-10-28 |
| 1396387361 | Jessica Leeann Jackson | In Home Supportive Care | 2643 Portsmouth Pl, Hephzibah, GA 30815-6434 | 2019-10-11 |
| 1720638018 | Jessica Jackson | Registered Nurse | 1600 Pine Tree Rd Apt 415, Longview, TX 75604-3244 | 2019-09-18 |
| 1386106326 | Jessica Marie Jackson | Specialist/Technologist | 120 Main St Apt 217, Saco, ME 04072-3528 | 2019-04-01 |
| 1205335916 | Jessica Berdette Jackson | Licensed Practical Nurse | 376 Owego Rd, Candor, NY 13743-1645 | 2018-02-08 |
| 1023553187 | Jessica Elise Jackson | Physician Assistant | 2109 S Santa Fe Ave, Moore, OK 73160-2807 | 2016-12-28 |
| 1982151130 | Jessica Jackson | Licensed Practical Nurse | 25 Green Knolls Dr Apt D, Rochester, NY 14620-4777 | 2016-09-06 |
| 1770940975 | Jessica Jackson | Technician, Other | 24024 Evergreen Rd Apt 108a, Southfield, MI 48075-5517 | 2016-01-20 |
| 1710344007 | Jessica Jackson | Social Worker | 4 Tufts Trl, Hopatcong, NJ 07843-1013 | 2016-01-18 |
| 1336572726 | Jessica L Jackson | Health Educator | 492 Naughright Rd, Long Valley, NJ 07853-3807 | 2013-08-20 |
| Street Address |
1955 N VALLEY DR |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88007-5154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639108244 | Bernadette Pina | Counselor | 1955 N Valley Dr, Las Cruces, NM 88007 | 2006-07-03 |
| 1316417132 | Kristine Marie Mitchell | Counselor | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2018-12-05 |
| 1497278311 | Jonathan Boldt | Counselor | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2017-07-23 |
| 1730633793 | Yvette Rivera-colmant | Social Worker | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2016-08-08 |
| 1285099556 | Virginia Longoria | Counselor | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2015-12-30 |
| 1154726941 | Tracie Stone | Specialist/Technologist | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2014-10-23 |
| 1821411679 | Jacqueline Rivers | Marriage & Family Therapist | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2014-01-30 |
| 1720409832 | Shawna Bailey | Registered Nurse | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2013-12-17 |
| 1699105320 | Ben Archer Health Center | Clinic/Center | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2013-11-15 |
| 1295164671 | Ann Boden | Counselor | 1955 N Valley Dr, Las Cruces, NM 88007-5154 | 2013-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952814196 | Debra G Hanus | Registered Nurse | 12325 Fort Mcrae Rd., Las Cruces, NM 88007 | 2017-11-09 |
| 1730698309 | Equine Assisted Programs of Southern New Mexico LLC | Clinic/Center | 190 Providence Road, Las Cruces, NM 88007 | 2017-09-26 |
| 1952841926 | Kimberly Danielle Diaz | Marriage & Family Therapist | 471 Alvillar Rd, Las Cruces, NM 88007 | 2017-02-24 |
| 1326420951 | Juan Mendoza | Psychologist | 715 E. Idaho, Las Cruces, NM 88007 | 2015-06-19 |
| 1801206974 | Sonnie Michelle Sanchez | Case Manager/Care Coordinator | 2211 N. Valley Dr., Las Cruces, NM 88007 | 2014-04-29 |
| 1932528171 | Carrie A Jones | Case Manager/Care Coordinator | 2211 N. Valley, Las Cruces, NM 88007 | 2014-04-15 |
| 1881015402 | Tony Trevino | Case Manager/Care Coordinator | 660 Copa Lane, Las Cruces, NM 88007 | 2013-12-27 |
| 1982025508 | Gilbert L Barela | Case Manager/Care Coordinator | 440 Helens Place, Las Cruces, NM 88007 | 2013-12-27 |
| 1497176010 | Heather Barela | Case Manager/Care Coordinator | 305 Windchime Lane, Las Cruces, NM 88007 | 2013-12-27 |
| 1962833194 | Sylvia Trevino | Case Manager/Care Coordinator | 660 Copa Ln., Las Cruces, NM 88007 | 2013-12-13 |
| Find all providers in zip 88007 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891064150 | Randolph Philip Rountree | Psychologist | 1505 S Don Roser Dr Ste A, Las Cruces, NM 88011-4596 | 2011-12-15 |
| 1871780726 | Richard Nicastro | Psychologist | 1180 Commerce Dr, Las Cruces, NM 88011-8210 | 2007-09-25 |
| 1992928469 | Charles William Blanchard | Psychologist | 3205 Arrowhead Rd, Las Cruces, NM 88011-4786 | 2007-04-11 |
| 1194870303 | Southern New Mexico Psychological Associates Pa | Psychologist | 1655 Don Roser Dr, Las Cruces, NM 88011 | 2007-01-25 |
| 1316013915 | Isobel P Klein Hernandez | Psychologist | 427 N Reymond, Las Cruces, NM 88005 | 2006-11-27 |
| 1609950104 | Donna Jean Small | Psychologist | 2801 E Missouri Ave, #11, Las Cruces, NM 88011-5061 | 2006-10-24 |
| 1801978887 | Stuart S Kelter | Psychologist | 2145 El Paseo Rd, Las Cruces, NM 88001-6008 | 2006-10-19 |
| 1124113600 | Joe B Alexander | Psychologist | 4384 Sandalwood Dr, Las Cruces, NM 88011 | 2006-10-03 |
| 1477561173 | Howard B. Daniels | Psychologist | 1655 S Don Roser Dr, Las Cruces, NM 88011-4545 | 2006-08-04 |
| 1285661041 | David A Sachs | Psychologist | 3521 Del Rey Blvd, Las Cruces, NM 88012-7708 | 2006-06-27 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88007 |
Please comment or provide details below to improve the information on JESSICA 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.