MICHELLE PATRICIA JACKSON (NPI# 1396914552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396914552 |
| Entity Type | Individual |
| Full Name | MICHELLE PATRICIA JACKSON |
| Credential | RN, MS, APRN-BC |
| Practice Address |
111 S Grant Ave Columbus OH 43215-4701 |
| Mailing Address |
340 E Town St Suite 10-330 Columbus OH 43215-4600 |
| Practice Telephone | 6145669000 |
| Mailing Telephone | 6145668302 |
| Mailing Fax Number | 6145668009 |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN-194757, NP-09 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434067 | Michelle Jackson | Behavior Technician | 6961 Rooks Ct Apt 305, Frederick, MD 21703-2781 | 2020-07-16 |
| 1790347722 | Michelle Lynn Jackson | Family Medicine | 456 Circle Dr, Kewanee, IL 61443-3622 | 2019-06-29 |
| 1396301487 | Michelle Jackson | Technician | 14000 Castle Blvd Apt 703, Silver Spring, MD 20904-4640 | 2019-05-14 |
| 1184196685 | Michelle Maria Jackson | Health Educator | 220 E 89th St, Brooklyn, NY 11236-1418 | 2018-12-20 |
| 1396253258 | Michelle Laray Jackson | Counselor | 3765 Carisbrook Dr, North Las Vegas, NV 89081-6631 | 2018-01-12 |
| 1427509173 | Michelle Jackson | Behavioral Analyst | 115 Franklin St Ne Apt H21, Washington, DC 20002-1091 | 2016-10-18 |
| 1891193678 | Michelle Jackson | Occupational Therapy Assistant | 12611 Hickman Pl, Denver, CO 80239-6204 | 2014-12-10 |
| 1215338330 | Michelle Jackson | Nurse Practitioner | 115 Fields St # De, Mooresville, IN 46158-1492 | 2014-09-08 |
| 1699058008 | Michelle A Jackson | Occupational Therapist | 6045 Ashford Ln, Unit 102, Naples, FL 34110-2416 | 2011-09-21 |
| 1285923185 | Michelle Ann Jackson | Rehabilitation Practitioner | 7124 Diving Petrels Pl, 7124 Diving Petrels Pl, North Las Vegas, NV 89084-2353 | 2011-03-31 |
| Street Address |
111 S GRANT AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43215-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146075 | Edward John Weisenberger | Nurse Anesthetist, Certified Registered | 111 S Grant Ave, 3rd Fl, Columbus, OH 43215 | 2005-07-07 |
| 1114528171 | Jessica Lynn Hack | Nurse Practitioner | 111 S Grant Ave, Columbus, OH 43215-1898 | 2020-11-05 |
| 1780297424 | Lauren Entwistle | Physician Assistant | 111 S Grant Ave, Columbus, OH 43215-4701 | 2020-08-24 |
| 1427673185 | Ohiohealth Grant Medical Center | Pharmacy | 111 S Grant Ave, Columbus, OH 43215-4701 | 2020-06-09 |
| 1215557871 | Kelly Elizabeth Ventresco | Nurse Practitioner | 111 S Grant Ave, Columbus, OH 43215-1898 | 2020-04-23 |
| 1255968624 | Allison Kaye Hoynes | Student in an Organized Health Care Education/Training Program | 111 S Grant Ave, Columbus, OH 43215-4701 | 2020-03-25 |
| 1023648318 | Fardowsa O Khalif | Nurse Practitioner | 111 S Grant Ave, N/a, Columbus, OH 43215 | 2020-01-25 |
| 1174167944 | Hope Deborah Dela Vega | Physical Therapist | 111 S Grant Ave, Columbus, OH 43215-1898 | 2019-11-04 |
| 1184271553 | Gabrielle Noel Colaiacovo | Physician Assistant | 111 S Grant Ave, Columbus, OH 43215-4701 | 2019-08-21 |
| 1053979328 | Megan Elizabeth Vanlandingham | Physician Assistant | 111 S Grant Ave, Columbus, OH 43215-4701 | 2019-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
| 1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
| 1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
| 1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
| 1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
| 1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
| 1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
| Find all providers in zip 43215 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394235 | Lisa Ann Popovich | Nurse Practitioner | 3703 Canon Ridge Pl, Columbus, OH 43230-4010 | 2020-10-17 |
| 1548812159 | Holly Penix | Nurse Practitioner | 223 Bluewing Ct, Columbus, OH 43235-1490 | 2019-07-13 |
| 1558840496 | Sheila Parker Strickland | Nurse Practitioner | 7413 Whitesville Rd Ste 700, Columbus, GA 31904-3230 | 2018-08-11 |
| 1669992822 | Susan Lee Mcfall | Nurse Practitioner | 1258 Grandview Ave Ste A, Columbus, OH 43212-3469 | 2017-06-20 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1285095802 | Laura Aumiller | Nurse Practitioner | 842 Grandview Ave, Columbus, OH 43215-1124 | 2016-03-09 |
| 1457741498 | Roshann Palmer | Nurse Practitioner | 5151 Reed Rd Ste 205, Columbus, OH 43220-2553 | 2015-01-29 |
| 1548650617 | Katherine Marie Wallace | Nurse Practitioner | 118 Enterprise Ct Ste B, Columbus, GA 31904-9228 | 2015-01-28 |
| 1144637299 | Jody Anne Howell | Nurse Practitioner | 1391 W 5th Ave, Suite 260, Columbus, OH 43212-2902 | 2014-07-21 |
| 1538589536 | Courtney Dubois Shihabuddin | Nurse Practitioner | 750 E Long St Ste 3000, Columbus, OH 43203-1874 | 2014-04-17 |
| Find all providers in COLUMBUS | ||||
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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.