HOLLY JACKSON (NPI# 1427597301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
2014030506 | MO | Nursing Service Providers |
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 |
Street Address |
1109 JONES ST |
City | KENNETT |
State | MO |
Zip Code | 63857-3824 |
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 |
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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 Code | 163WG0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114437902 | Tamara Ashley Keesee | Registered Nurse | 1051 Jones St, Kennett, MO 63857-3866 | 2017-10-05 |
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 |
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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.