MISSY LEIGH JACKSON (NPI# 1396183752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396183752 |
| Entity Type | Individual |
| Full Name | MISSY LEIGH JACKSON |
| Practice Address |
803 S Main St Greensboro GA 30642-1211 |
| Practice Telephone | 7063198762 |
| Practice Fax Number | 7069993221 |
| Mailing Telephone | 7069993221 |
| Mailing Fax Number | 7069993221 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN139599 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
803 S MAIN ST |
| City | GREENSBORO |
| State | GA |
| Zip Code | 30642-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635847 | Clarence H Fossier | Specialist | 803 S Main St, Greensboro, GA 30642-1211 | 2005-08-04 |
| 1225637192 | Jennifer Dixon | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2020-10-22 |
| 1104476936 | Jessica Devero Milner | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2019-09-13 |
| 1427542265 | Jessica Elizabeth Anne Simpson | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642 | 2018-06-15 |
| 1790235364 | Morgan Hardigree | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2016-10-07 |
| 1689057754 | Nathan Wade | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2015-07-07 |
| 1104210459 | Sonia Suda | Internal Medicine | 803 S Main St, Greensboro, GA 30642-1211 | 2015-03-25 |
| 1093121592 | Matthew Carithers | Dentist | 803 S Main St, Greensboro, GA 30642-1211 | 2014-07-03 |
| 1538574348 | Corey Woodard | Dentist | 803 S Main St, Greensboro, GA 30642-1211 | 2014-07-01 |
| 1508202995 | Itoro Bassey Edet Daniels | Internal Medicine | 803 S Main St, Greensboro, GA 30642 | 2013-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821575176 | Donald Matson Keiser IIi | Pharmacist | 6380 Lake Oconee Parkway, Greensboro, GA 30642 | 2018-07-19 |
| 1427575844 | Kathleen Mcgrady | Psychologist | 1121 Careywood St, Greensboro, GA 30642 | 2017-08-25 |
| 1851733281 | April Jackson Powell | Physical Therapist | 1000 Cowles Clinc Way Ste D-100, Greensboro, GA 30642 | 2013-07-26 |
| 1003046673 | Apalachee Medical Supply & Mobility Inc | Durable Medical Equipment & Medical Supplies | 1000 Cowles Clinic Way, Aspen Building A-200, Greensboro, GA 30642 | 2009-07-17 |
| 1487808754 | Wendy C Pearson | Nurse Practitioner | 1000 Cowles Clinc Way Ste 300, Greensboro, GA 30642 | 2008-11-12 |
| 1144481516 | Kingdom Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1020 Park Drive, Suite B, Greensboro, GA 30642 | 2008-06-18 |
| 1538369343 | Jerry Allen Spivey Jr. | Anesthesiology | 1030 Founders Row, Greensboro, GA 30642 | 2007-07-19 |
| 1578766309 | Richard Norman Lee | Dentist | 1041 Parkside Commons, Suite 104, Greensboro, GA 30642 | 2007-06-08 |
| 1609085950 | Lott Cuffie Southwest Properties | Dentist | 1050 Parkside Commons, Suite 103, Greensboro, GA 30642 | 2007-05-22 |
| 1649320490 | Greene County Nursing Center LLC | Skilled Nursing Facility | 1211 Siloam Road, Greensboro, GA 30642 | 2007-01-12 |
| Find all providers in zip 30642 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780992420 | Paula Worthington | Nurse Practitioner | 670 Hall St, Greensboro, AL 36744-2516 | 2010-09-15 |
| 1871058354 | Ellis Kathryn Greer | Nurse Practitioner | 3200 Northline Ave Ste 130, Greensboro, NC 27408-7600 | 2019-02-08 |
| 1790235364 | Morgan Hardigree | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2016-10-07 |
| 1912236126 | Jami Brooke Chrzanowski | Nurse Practitioner | 802 Green Valley Rd Ste 300, Greensboro, NC 27408 | 2009-12-17 |
| 1114168069 | Andrea Lynn Isaak | Nurse Practitioner | 1704 Battleground Ave, Greensboro, NC 27408-7905 | 2009-03-23 |
| 1053559195 | Women's Integrative Health | Nurse Practitioner | 335 S Swing Rd, Greensboro, NC 27409-2009 | 2009-01-28 |
| 1689893562 | Nancy J Young | Nurse Practitioner | 719 Green Valley Rd, Suite 305, Greensboro, NC 27408-7014 | 2007-04-25 |
| 1871584953 | Auma Thongteum | Nurse Practitioner | 301 E Wendover Ave, Suite 300, Greensboro, NC 27401-1230 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368328 | Jennifer Cobb | Nurse Practitioner | 130 Champlain St, Decatur, GA 30030-1803 | 2020-08-29 |
| 1336766476 | Nadine L Donahue | Nurse Practitioner | 1703 Oglethorpe Dr Ne, Brookhaven, GA 30319-2791 | 2020-07-05 |
| 1003465337 | Kaitlin Wilson | Nurse Practitioner | 5195 Jimmy Carter Blvd, Norcross, GA 30093-1649 | 2019-09-09 |
| 1912555939 | Erika Parks | Nurse Practitioner | 81 Upper Riverdale Rd Sw Ste 210, Riverdale, GA 30274-2627 | 2019-09-03 |
| 1427600469 | Kytrena L Harris | Nurse Practitioner | 232 Seaton Ave, Grovetown, GA 30813-4259 | 2019-07-10 |
| 1720640162 | Sonya Coutee Wallace | Nurse Practitioner | 3200 Highlands Pkwy Se Ste 420, Smyrna, GA 30082-5192 | 2019-07-06 |
| 1134783152 | Julia Coleman Quinn | Nurse Practitioner | 220 Cobb Pkwy N Ste 500, Marietta, GA 30062-3580 | 2019-04-24 |
| 1144782749 | Keely Darnell | Nurse Practitioner | 133 Samaritan Dr Ste 306, Cumming, GA 30040-2396 | 2019-04-02 |
| 1578020103 | Stacey Leigh Newpher | Nurse Practitioner | 960 Johnson Fy Rd Ne Ste 130, Atlanta, GA 30342-1601 | 2019-03-01 |
| 1144702226 | Veneah Shante Hall | Nurse Practitioner | 440 Moreland Ave Se, Atlanta, GA 30316-1926 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 30642 |
Please comment or provide details below to improve the information on MISSY LEIGH 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.