MRS. IRIS W JACKOLA (NPI# 1467821801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467821801 |
| Entity Type | Individual |
| Full Name | MRS. IRIS W JACKOLA |
| Practice Address |
796 Doctor's Court Roxboro NC 27573 |
| Practice Telephone | 3365980002 |
| Mailing Telephone | 3365980002 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2016-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
236553 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
796 DOCTOR'S COURT |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786783 | Caitlin Elissa Seidler | Physician Assistant | 910 N Madison Blvd Ste B, Roxboro, NC 27573 | 2018-10-21 |
| 1568897213 | Person County Group Homes, Inc. | Community/Behavioral Health | 607 Henry Street, Roxboro, NC 27573 | 2013-09-12 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1932445749 | Ronnie Lee Chandler | Pharmacist | 109 North Main St., Roxboro, NC 27573 | 2012-12-26 |
| 1154559581 | Roxboro Medaccess Primary Care | Clinic/Center | 3762 Durham Road, Roxboro, NC 27573 | 2009-06-24 |
| 1699922302 | Bruce Wayne Walsh | Counselor | 355 C1 S. Madison Blvd, Roxboro, NC 27573 | 2008-08-25 |
| 1033232020 | Person County Department of Social Services | Durable Medical Equipment & Medical Supplies | 355-b South Madison Blvd, Roxboro, NC 27573 | 2007-04-06 |
| 1417095886 | Thomas Jones Day Jr. | Dentist | 407 North Main St, Roxboro, NC 27573 | 2007-02-01 |
| 1578622288 | Corey Wayne Wilson | Dentist | 112 West Barden Street, Roxboro, NC 27573 | 2006-12-08 |
| 1609954213 | Signe Offenberg | Social Worker | 355 C South Madison Blvd, Roxboro, NC 27573 | 2006-11-01 |
| Find all providers in zip 27573 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970158 | Giselle Pymento | Nurse Practitioner | 783 Doctors Ct, Roxboro, NC 27573-4571 | 2019-12-26 |
| 1326529454 | Caroline Hadley | Nurse Practitioner | 796 Doctors Ct, Roxboro, NC 27573-4571 | 2018-08-27 |
| 1881948339 | Angela J Good | Nurse Practitioner | 702 N Main St, Roxboro, NC 27573-4755 | 2012-11-06 |
| 1760735815 | Sarah Benton Wagner | Nurse Practitioner | 3762 Durham Rd, Suite B, Roxboro, NC 27573-2741 | 2012-10-25 |
| 1437405941 | Carmen Chatten | Nurse Practitioner | 3762 Durham Rd Ste A, Roxboro, NC 27573-2741 | 2012-08-02 |
| 1316223316 | Tabatha L Horner | Nurse Practitioner | 609 Professional Dr, Roxboro, NC 27573-4543 | 2011-10-24 |
| 1861772121 | Julia Lynne Mabe | Nurse Practitioner | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2011-08-18 |
| 1609155829 | Brian Alan Lancer | Nurse Practitioner | 3762 Durham Rd, Roxboro, NC 27573-2741 | 2011-08-04 |
| 1609166321 | Kimberly Fletcher Dorsey | Nurse Practitioner | 615 Ridge Rd, Roxboro, NC 27573-4629 | 2011-04-14 |
| 1619995982 | Tamara Starr | Nurse Practitioner | 702 N Main St, Roxboro, NC 27573 | 2006-07-17 |
| Find all providers in ROXBORO | ||||
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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.