MACKENZIE FAITH JACKSON (NPI# 1336755099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336755099 |
| Entity Type | Individual |
| Full Name | MACKENZIE FAITH JACKSON |
| Practice Address |
980 Highway 28 Ste 100 Jasper TN 37347-3696 |
| Mailing Address |
142 Indian Hills Dr Clarksville TN 37043-4433 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
28196 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 980 Highway 28, Jasper, TN 373473695 | 4239391500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896315 | Mackenzie Brooks Jackson | Nurse Practitioner | 46 N Creekside Ct, Houston, TX 77055-7540 | 2020-09-19 |
| 1952947186 | Mackenzie Alysse Jackson | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2019-11-22 |
| 1235682725 | Mackenzie Jackson | Case Manager/Care Coordinator | 102 N Denver Ave, Tulsa, OK 74103-1806 | 2016-08-01 |
| Street Address |
980 HIGHWAY 28 STE 100 |
| City | JASPER |
| State | TN |
| Zip Code | 37347-3696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083179246 | Michelle Lynn Story | Family Medicine | 980 Highway 28 Ste 100, Jasper, TN 37347-3696 | 2019-02-01 |
| 1982204723 | Morgan Fisher | Nurse Practitioner | 980 Highway 28 Ste 100, Jasper, TN 37347-3696 | 2020-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629518626 | Mary Elisabeth Jordan | Clinical Nurse Specialist | 4665 Main St Suite 2, Jasper, TN 37347 | 2017-02-24 |
| 1336569359 | Kevin Stevens | Emergency Medicine | 1000 Tn-28, Jasper, TN 37347 | 2014-04-17 |
| 1487801924 | Valley Imaging Partners, P.C. | Radiology | 1000 Hwy 28, Jasper, TN 37347 | 2008-08-27 |
| 1053494708 | Elizabeth Rodgers | Nurse Practitioner | 215 Hickman Road, Jasper, TN 37347 | 2006-10-23 |
| 1386726875 | Wal-mart Stores East, Lp | Technician/Technologist | 525 Kimball Crossing, Kimball, TN 37347 | 2006-10-20 |
| 1427033307 | Karim D Hasnani | Dentist | 507 Betsy Pack Dr Suite B, Jasper, TN 37347 | 2005-12-13 |
| 1932184017 | Craig John Cott | Psychiatry & Neurology | 215 Hickman Rd, Jasper, TN 37347 | 2005-12-12 |
| 1104817774 | Karin B Boeck | Family Medicine | 24 Mountain View Drive, Suite A, Kimball, TN 37347 | 2005-11-02 |
| 1508344227 | Faith Hannah Williams | Registered Nurse | 1000 Tn-28, Jasper, TN 37347 | 2018-08-03 |
| 1861752578 | Jana Marlow | Social Worker | 215 Hickman Rd, Jasper, TN 37347 | 2012-05-29 |
| Find all providers in zip 37347 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606421 | Anna Elizabeth Patton | Nurse Practitioner | 12 Sammy Mcghee Blvd Ste 102, Jasper, GA 30143-7712 | 2020-03-29 |
| 1578536678 | Janis Lyons Carr | Nurse Practitioner | 1513 Pediatric Drive, Jasper, AL 35501-4059 | 2006-02-09 |
| 1982204723 | Morgan Fisher | Nurse Practitioner | 980 Highway 28 Ste 100, Jasper, TN 37347-3696 | 2020-10-30 |
| 1487251583 | Gracen Perkins | Nurse Practitioner | 12 Sammy Mcghee Blvd Ste 102, Jasper, GA 30143-7712 | 2020-10-02 |
| 1750798997 | Alicia Jill Saunders | Nurse Practitioner | 1513 Pediatric Dr, Jasper, AL 35501-4059 | 2014-07-21 |
| 1861741274 | Kimberly Christian Swaisland | Nurse Practitioner | 1513 Pediatric Dr, Jasper, AL 35501-4059 | 2012-08-30 |
| 1245270214 | Yvonne Rominger | Nurse Practitioner | 721 W 13th St, Ste 321, Jasper, IN 47546 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416330 | Laura Jean Schmid | Nurse Practitioner | 2200 Childrens Way Ste 3103, Nashville, TN 37232-0034 | 2020-10-27 |
| 1801495338 | Heidi Bevans | Nurse Practitioner | 1440 Cedar Ln, Tullahoma, TN 37388-2485 | 2020-10-26 |
| 1629683453 | Monique Kyles | Nurse Practitioner | 148 Marrakesh Cir, Memphis, TN 38103-5830 | 2020-09-09 |
| 1164034013 | Donte Leonard | Nurse Practitioner | 952 Dolly Parton Pkwy, Sevierville, TN 37862-3707 | 2020-08-21 |
| 1114545050 | Regina Jill Brown | Nurse Practitioner | 1441 Guthrie Dr Nw, Cleveland, TN 37311-3642 | 2020-07-07 |
| 1295350361 | Amber Rose King | Nurse Practitioner | 439 N Graham St, Memphis, TN 38122-3831 | 2020-06-14 |
| 1346869302 | Ashley O'brien | Nurse Practitioner | 1044 Oak Drive, White Bluff, TN 37187-3718 | 2020-04-10 |
| 1487298634 | Madison Hatfield | Nurse Practitioner | 2200 Childrens Way Fl 8, Nashville, TN 37232-0005 | 2019-10-31 |
| 1184267270 | Mary Elizabeth Coletti | Nurse Practitioner | 1029 W Main St # 3301, Lebanon, TN 37087-3351 | 2019-10-22 |
| 1508408956 | Stephanie Nidiffer | Nurse Practitioner | 3328 Jenkins Rd Ste 200, Chattanooga, TN 37421-1298 | 2019-10-16 |
| 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.