TRACY JACKSON (NPI# 1295902971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295902971 |
| Entity Type | Individual |
| Full Name | TRACY JACKSON |
| Credential | RN |
| Practice Address |
1487 W Keiser Ave Osceola AR 72370-2806 |
| Mailing Address |
4508 Stadium Blvd Jonesboro AR 72404-9675 |
| Practice Telephone | 8706220592 |
| Practice Fax Number | 8706220782 |
| Mailing Telephone | 8709336886 |
| Mailing Fax Number | 8709339395 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R44657 | AR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639611486 | Tracy Lynn Jackson | Behavior Technician | 412 S Central Ave, Idabel, OK 74745-6060 | 2016-11-10 |
| 1952779209 | Tracy Jackson | Nurse's Aide | 11210 Orville Ave, Cleveland, OH 44106-1327 | 2015-09-03 |
| 1982902516 | Tracy Ann Jackson | Speech-Language Pathologist | 6395 Polo Club Dr, Cumming, GA 30040-5716 | 2011-03-07 |
| 1154436590 | Tracy P Jackson | Anesthesiology | 719 Thompson Ln Ste 22209, Nashville, TN 37204-4692 | 2006-08-19 |
| 1740203496 | Tracy Leslie Jackson | Dentist | 1731 Manatee Ave E, Bradenton, FL 34208 | 2006-07-25 |
| 1568879732 | Tracy Jackson | Counselor | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2014-07-18 |
| 1992003594 | Tracy Elaine Jackson | Pharmacist | 1000 Broad St, Sumter, SC 29150-2505 | 2011-03-05 |
| 1871894899 | Tracy I Jackson | Registered Nurse | 2209 Howard St, Evanston, IL 60202-3636 | 2010-11-08 |
| 1932334091 | Tracy Jackson | Nurse Practitioner | 1389 N Baldwin Ave, Marion, IN 46952-1913 | 2009-05-19 |
| 1154461283 | Tracy Letia Jackson | Physician Assistant | 215 W 125th St, New York, NY 10027-4426 | 2007-02-07 |
| Street Address |
1487 W KEISER AVE |
| City | OSCEOLA |
| State | AR |
| Zip Code | 72370-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275700940 | Quotia Holland | Social Worker | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2008-05-13 |
| 1841773223 | Alyssa Sikora | Social Worker | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2018-09-11 |
| 1316427727 | Keelee Brielle Holladay | Social Worker | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2018-08-15 |
| 1265970693 | Adrian Jones | Case Manager/Care Coordinator | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2017-02-06 |
| 1700242211 | Malissa Ephlin | Counselor | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2016-01-13 |
| 1508239765 | Michelle Chapman | Case Manager/Care Coordinator | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2015-11-09 |
| 1194116269 | Terri Covington | Case Manager/Care Coordinator | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2015-02-11 |
| 1841681061 | Reginald Matthew Ross | Case Manager/Care Coordinator | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2015-02-10 |
| 1558601781 | Ollie Cox IIi | Counselor | 1487 W Keiser Ave, Suite 1, Osceola, AR 72370-2806 | 2013-02-25 |
| 1265789465 | Terry Mae Cooper | Social Worker | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2012-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417411570 | Southern Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 922 West Kizer St., Osceola, AR 72370 | 2019-01-23 |
| 1831431733 | Shaquata Davis | Social Worker | 1487 West Keiser Ave. Suite 1, Osceola, AR 72370 | 2013-03-19 |
| 1821348855 | Mary Kathryn Campbell | Speech-Language Pathologist | 315 E Union, Osceola, AR 72370 | 2012-09-18 |
| 1518230697 | Nikki D Moore | Case Manager/Care Coordinator | 1487 West Keiser Ave Ste I, Osceola, AR 72370 | 2012-02-20 |
| 1134497845 | Tim Allen | Case Manager/Care Coordinator | 3201 W. Keiser Ave., Osceola, AR 72370 | 2011-12-08 |
| 1184929663 | Gail Renee Barger | Counselor | 3201 West Keiser, Osceola, AR 72370 | 2011-01-14 |
| 1134423833 | Donna Susan Richmond | Speech-Language Pathologist | 1866 S Hwy 77, Osceola, AR 72370 | 2011-01-10 |
| 1972807592 | Meredith Annette Harris | Case Manager/Care Coordinator | 3201 West Keiser Ave, Osceola, AR 72370 | 2010-12-23 |
| 1093018871 | Tabatha G Bingham | Case Manager/Care Coordinator | 3201 W. Keiser, Osceola, AR 72370 | 2010-12-16 |
| 1588974109 | Sheila Lynette Rumph | Case Manager/Care Coordinator | 1487 W. Keiser Ave. Suite 1, Osceola, AR 72370 | 2010-10-15 |
| Find all providers in zip 72370 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073015723 | Jennifer W Njihia | Registered Nurse | 55714 Black Pheasant Dr, Osceola, IN 46561-8515 | 2018-03-08 |
| 1306200076 | Wendy Field | Registered Nurse | 2789 Cloutier Ct, Osceola, WI 54020 | 2016-04-08 |
| 1578855144 | Debra Ann Melin | Registered Nurse | 2255 Oak Dr, Osceola, WI 54020-4522 | 2011-05-13 |
| 1831429794 | Denice Piszczek | Registered Nurse | 407 Ridge Rd, Osceola, WI 54020-8050 | 2009-12-28 |
| 1700426095 | Allana B Clymer | Registered Nurse | 405 Delmar Ave, Osceola, WI 54020-8179 | 2020-01-14 |
| 1740848761 | Jennifer Osborne | Registered Nurse | 531 Beebe St, Osceola, NE 68651-5537 | 2019-06-04 |
| 1740545508 | Tammy Irene Mclemore Sellars | Registered Nurse | 315 E Union Ave, Osceola, AR 72370-3235 | 2012-07-09 |
| 1134396542 | Steve Jones | Registered Nurse | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2008-05-14 |
| 1497922918 | Tamarah Love | Registered Nurse | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2008-05-14 |
| 1174790547 | Paula Turner Norvell | Registered Nurse | 3201 W Keiser Ave, Osceola, AR 72370-3467 | 2008-05-14 |
| Find all providers in OSCEOLA | ||||
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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.