HOLLY JACKSON


Address: 1109 Jones St, Kennett, MO 63857-3824
Phone: 5733592600

HOLLY JACKSON (NPI# 1427597301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427597301
Entity Type Individual
Full Name HOLLY JACKSON
Practice Address 1109 Jones St
Kennett
MO 63857-3824
Practice Telephone 5733592600
Mailing Telephone 5733592600
Enumeration Date 2017-02-13
Last Update Date 2017-02-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
2014030506 MO Nursing Service Providers

Other Providers HOLLY JACKSON

NPI Name Taxonomy Address Enumeration
1689275802 Holly Marie Jackson Technician 448 W Cooper St, Tipton, MO 65081-8217 2020-11-04
1689156721 Holly Alegro Jackson Non-emergency Medical Transport (VAN) 10550 Murat Dr, Saint Louis, MO 63136-4524 2018-09-05
1417351453 Holly Jean Jackson Licensed Practical Nurse 5a Lafayette Avenue, Canandaigua, NY 14424 2014-10-20
1013212711 Holly Jackson Social Worker 511 W 86th Ter, Kansas City, MO 64114-2822 2011-01-11
1083882278 Holly Jackson Licensed Practical Nurse 2040 Murray Holladay Rd Ste 205, Salt Lake City, UT 84117-5197 2008-02-11
1548753700 Holly Jean Jackson Behavior Technician 19800 Village Office Ct, Bend, OR 97702-1872 2018-06-12
1922596220 Holly Suzanne Jackson Counselor 1100 Walnut St, Owensboro, KY 42301-2956 2018-04-23
1720575392 Holly Jackson Nurse Anesthetist, Certified Registered 7601 Southcrest Pkwy, Southaven, MS 38671-4739 2018-04-18
1427576511 Holly M Jackson Nurse Practitioner 905 Dixie St, Carrollton, GA 30117-4417 2017-09-08
1023551223 Holly V Jackson Advanced Practice Midwife 1900 S Tuttle Ave, Sarasota, FL 34239-3114 2016-11-21

Office Location

Street Address 1109 JONES ST
City KENNETT
State MO
Zip Code 63857-3824

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013023860 Carl Rodney Fisher Counselor 1109 Jones St, Kennett, MO 63857-3824 2006-08-22
1588265565 Jaymie Rena Glass Case Manager/Care Coordinator 1109 Jones St, Kennett, MO 63857-3824 2020-11-05
1205468402 James Berry Rogers Behavior Technician 1109 Jones St, Kennett, MO 63857-3824 2020-02-06
1528698156 Dylon Deauston Holt Behavior Technician 1109 Jones St, Kennett, MO 63857-3824 2020-01-23
1598305351 Lora Nicole Wilson Counselor 1109 Jones St, Kennett, MO 63857-3824 2020-01-09
1336799428 William Robert Davis Jr. Behavior Technician 1109 Jones St, Kennett, MO 63857-3824 2019-09-19
1013564947 Chelsi Joann Masterson Case Manager/Care Coordinator 1109 Jones St, Kennett, MO 63857-3824 2019-08-26
1790337442 Kelsi Michelle Moody Behavior Technician 1109 Jones St, Kennett, MO 63857-3824 2019-07-12
1649839002 James Mark Howell Behavior Technician 1109 Jones St, Kennett, MO 63857-3824 2019-06-10
1497313308 Jacqueline Michelle Morris Health Educator 1109 Jones St, Kennett, MO 63857-3824 2019-06-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992278139 Fancilla Adams Counselor 925 State Highway V V, Kennett, MO 63857 2019-01-10
1962994418 Kiana Alexis Brown Behavior Technician 925 Highway W, Kennett, MO 63857 2018-05-31
1568953636 Doctors Health Group, Inc Family Medicine 1312 First Street, Kennett, MO 63857 2018-05-24
1003328873 Ann Graf Counselor 925 Vv, Kennett, MO 63857 2017-11-01
1457872160 Jessica Luster Technician, Other 1109 Jones St., Kennett, MO 63857 2017-07-03
1235669128 Chandra Celeste Perkins-shannon Case Manager/Care Coordinator 925 Hwy V, Kennett, MO 63857 2017-06-14
1467991612 Sarah Lobdell Case Manager/Care Coordinator 925 State Highway Vv, Kennett, MO 63857 2017-02-21
1881132900 Brandy Rios Community Health Worker 935 State Hwy Vv, Kennett, MO 63857 2017-02-09
1295272060 Johnny Marie Johnson Case Manager/Care Coordinator 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 2017-01-31
1043756364 Heather Bowman Case Manager/Care Coordinator 875 Hwy Vv, Kennett, MO 63857 2017-01-10
Find all providers in zip 63857

Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114437902 Tamara Ashley Keesee Registered Nurse 1051 Jones St, Kennett, MO 63857-3866 2017-10-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184248270 Tonya Kay Smith Registered Nurse 7712 Meadow View Cir, Union, MO 63084-2430 2020-06-03
1104330273 Terri Schorr Registered Nurse 4310 Tyer Rd, Grain Valley, MO 64029-9375 2017-11-27
1396273348 Lee Anne Friend Registered Nurse 103 Farm View Ln, Foristell, MO 63348-1075 2017-06-02
1588119945 Patricia Ann Duncan Registered Nurse 3444 Broadway Blvd, Kansas City, MO 64111-2412 2016-08-15
1922266204 Brenda Kay Mcsherry Registered Nurse 3217 S Providence Road, Columbia, MO 65203 2008-05-23
1306972500 Stacy Jane Sisson Registered Nurse 5608 Cliff Cave Crossing Dr, Saint Louis, MO 63129-4368 2007-02-24
1245378876 Lora Lynne Perrin Registered Nurse 23916 Trail Ridge Pass, Cleveland, MO 64734-9068 2007-02-03
1043242183 Julie M Epple Registered Nurse 1500 Calvary Church Rd, Festus, MO 63028-4125 2006-07-07
1194783357 Timothy J Wand Registered Nurse 3801 S National, Springfield, MO 65807 2006-05-03
1821052853 Gail Compton Registered Nurse 246 Re Highway 54, Camdenton, MO 65020 2006-04-14
Find all providers with the same taxonomy

Competitor

Search similar providers

City KENNETT
Zip Code 63857

Improve Information

Please comment or provide details below to improve the information on HOLLY JACKSON.

Dataset Information

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.

Trending Searches