KRISTINE JACKSON (NPI# 1467690487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467690487 |
| Entity Type | Individual |
| Full Name | KRISTINE JACKSON |
| Credential | FNP |
| Practice Address |
114 Sandhill Dr Suite 101 Middletown DE 19709-5805 |
| Practice Telephone | 2033784779 |
| Practice Fax Number | 3023783789 |
| Mailing Telephone | 2033784779 |
| Mailing Fax Number | 3023783789 |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2013-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG-000450 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598855520 | Kristine M Jackson | Nurse Practitioner | 220 W 7th St, Dubuque, IA 52001-2375 | 2006-10-13 |
| Street Address |
114 SANDHILL DR SUITE 101 |
| City | MIDDLETOWN |
| State | DE |
| Zip Code | 19709-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508845132 | Laxmichand Dedhia | Family Medicine | 114 Sandhill Dr, Ste 101, Middletown, DE 19709-5805 | 2006-01-12 |
| 1114570009 | Christina Marie Sweatt | Nurse Practitioner | 114 Sandhill Dr, Suite 101, Middletown, DE 19709 | 2019-07-19 |
| 1730626755 | Michele Tjaden | Nurse Practitioner | 114 Sandhill Dr, Suite 101, Middletown, DE 19709-5805 | 2017-01-28 |
| 1154777001 | Mini Mathew | Nurse Practitioner | 114 Sandhill Dr, Middletown Family Care Associate,suite101, Ketlay Plaza, Middletown, DE 19709-5805 | 2016-05-10 |
| 1548633621 | Haley Sparks | Physician Assistant | 114 Sandhill Dr, Suite 101, Middletown, DE 19709-5805 | 2015-11-11 |
| 1154756435 | James Albert Moles | Physician Assistant | 114 Sandhill Dr, Suite 101, Middletown, DE 19709-5805 | 2013-09-05 |
| 1649405713 | First State Neurology, LLC | Psychiatry & Neurology | 114 Sandhill Dr, Suite 201a, Middletown, DE 19709-5805 | 2009-05-19 |
| 1326202391 | Katherine Mary Perscky | Podiatrist | 114 Sandhill Dr, Ste 103, Middletown, DE 19709-5805 | 2008-07-17 |
| 1881886786 | Ati Holdings, LLC | Durable Medical Equipment & Medical Supplies | 114 Sandhill Dr, Suite 103, Ketlay Plaza, Middletown, DE 19709-5805 | 2007-08-14 |
| 1174745152 | Cheerie B Wallenta | Physical Therapist | 114 Sandhill Dr, Suite 103 Ketkay Plaza, Middletown, DE 19709-5805 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249797 | Lucinda M Cadet | Social Worker | 600 N. Broad Street, Suite 5, #768, Middletown, DE 19709 | 2020-09-11 |
| 1447870118 | Adella Sangarie | Licensed Practical Nurse | 712 Wood Duck Ct, Middletown, DE 19709 | 2020-04-22 |
| 1336600535 | Nathan Lo | Student in an Organized Health Care Education/Training Program | 937 Whispering Trail, Middletown, DE 19709 | 2019-03-29 |
| 1629559554 | Acceptance Counseling, LLC | Social Worker | 115 N. Broad St, Ste 1, Middletown, DE 19709 | 2018-08-28 |
| 1356844492 | Eden Hill Expresscare, LLC | Clinic/Center | 749 Middletown Warwick Road, Middletown, DE 19709 | 2018-03-15 |
| 1740782135 | Angela L Robinson | Counselor | 5350 Summit Bridge Rd Ste 103, Middletown, DE 19709 | 2018-03-02 |
| 1417456492 | Metanoia Counseling, LLC | Clinic/Center | 101 West Park Place, Middletown, DE 19709 | 2018-02-06 |
| 1275031114 | Nicole Brody Gomes | Physical Therapist | 210 Cleaver Farms Rd, Ste 1, Middletown, DE 19709 | 2018-01-25 |
| 1972012383 | Raymond Robert Solinger | Physical Therapist | 210 Cleaver Farms Rd Ste 1, Middletown, DE 19709 | 2017-09-28 |
| 1811432008 | Leslie Nkansah | Pharmacist | 367 Ellenwood Drive, Middletown, DE 19709 | 2016-12-27 |
| Find all providers in zip 19709 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072344 | Shante Brady | Nurse Practitioner | 37 Ruth Ct, Middletown, NY 10940-5329 | 2020-10-30 |
| 1932710126 | Miesha Sarah Stokely | Nurse Practitioner | 10 Atwood Dr, Middletown, NY 10940-2539 | 2020-08-12 |
| 1801413919 | Stacey Ward | Nurse Practitioner | 1055 Summit Dr., Middletown, OH 45042 | 2020-07-06 |
| 1316563869 | Alexa Rae Steenbruggen | Nurse Practitioner | 8 Gossets Turn Dr, Middletown, RI 02842-7900 | 2020-06-21 |
| 1942832472 | Courtney Killin | Nurse Practitioner | 506 Gladys Dr, Middletown, OH 45044-4825 | 2020-02-12 |
| 1174085575 | Adenike Yetunde Awotundun | Nurse Practitioner | 1020 N Union St Apt 204, Middletown, PA 17057-2158 | 2019-04-03 |
| 1447722095 | Cheryl Roman | Nurse Practitioner | 15 Southview W, Middletown, NJ 07748-2416 | 2018-12-20 |
| 1083191076 | Johnita Hendricks | Nurse Practitioner | 124 Sleepy Hollow Dr Ste 201, Middletown, DE 19709-5838 | 2018-07-23 |
| 1881146702 | Oluyemisi A Okudele | Nurse Practitioner | 11 Little Cir, Middletown, DE 19709-7956 | 2016-10-26 |
| 1629523816 | Lavinda Mcauliffe | Nurse Practitioner | 6730 Roosevelt Ave Ste 201, Middletown, OH 45005-5730 | 2016-08-17 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 19709 |
Please comment or provide details below to improve the information on KRISTINE 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.