DARRYE JACKSON (NPI# 1346211273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346211273 |
| Entity Type | Individual |
| Full Name | DARRYE JACKSON |
| Credential | ARNP |
| Practice Address |
75 East Court Street Kentuckycare Bardwell KY 42023-8483 |
| Mailing Address |
623 N 9th St Po Box 497 Augusta AR 72006-2129 |
| Practice Telephone | 2706283333 |
| Practice Fax Number | 2706283334 |
| Mailing Telephone | 8703472543 |
| Mailing Fax Number | 8703473492 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2013-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3315P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78005923 | 05 |
| Street Address |
75 EAST COURT STREET KENTUCKYCARE |
| City | BARDWELL |
| State | KY |
| Zip Code | 42023-8483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720468689 | Bardwell Pharmacy LLC | Pharmacy | 178 U.S. Hwy 51 N, Bardwell, KY 42023 | 2015-06-05 |
| 1083994784 | Chris Augustus | Pharmacist | 178 Us Hwy 51n, Bardwell, KY 42023 | 2011-08-25 |
| 1275666067 | Garnett Chiropractic Center Psc | Chiropractor | 230 Highway 51 South, Bardwell, KY 42023 | 2007-03-13 |
| 1205858206 | Bardwell Pharmacy | Pharmacy | 178 Us Hwy 51 N, Bardwell, KY 42023 | 2006-07-25 |
| 1346277563 | Purchase District Health Dept | Public Health or Welfare | 62 John Roberts Drive, Bardwell, KY 42023 | 2006-06-26 |
| 1750879524 | Bardwell Pharmacy LLC | Pharmacy | 178 Us Hwy 51n, Bardwell, KY 42023 | 2018-04-27 |
| 1194848119 | Hampton Physical Therapy | Physical Therapist | 178 Us Hwy 51 N, Bardwell, KY 42023 | 2007-04-06 |
| 1861416968 | John Allen Boyd | Dentist | 268 Hwy 62, Bardwell, KY 42023-0367 | 2006-07-26 |
| 1538139159 | Carlisle County Fiscal Court | Ambulance | 65 John Roberts Dr Ste A, Bardwell, KY 42023-8002 | 2006-01-25 |
| 1710978895 | Stephen William Garnett | Chiropractor | 230 Us Highway 51 S, Bardwell, KY 42023-8410 | 2005-10-29 |
| Find all providers in zip 42023 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245536523 | Emily Jones | Nurse Practitioner | 75 East Court, Bardwell, KY 42023-8783 | 2011-02-02 |
| 1417442872 | Melanie J Barber | Nurse Practitioner | 75 E Court St, Bardwell, KY 42023-8483 | 2018-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
| 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.