NANCY JACKSON


Address: 1115 Garredd Blvd, Augusta, GA 30909
Phone: 7068549416

NANCY JACKSON (NPI# 1487615191) 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) 1487615191
Entity Type Individual
Full Name NANCY JACKSON
Credential RN PNP
Practice Address 1115 Garredd Blvd
Augusta
GA 30909
Practice Telephone 7068549416
Practice Fax Number 7068638523
Mailing Telephone 7068549416
Mailing Fax Number 7068638523
Enumeration Date 2006-03-31
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner R110128 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 00876939A 05

Other Providers NANCY JACKSON

NPI Name Taxonomy Address Enumeration
1386113330 Nancy N Jackson Licensed Vocational Nurse 6213 Reddenson Dr, Fort Worth, TX 76132-5049 2018-11-20
1497157077 Nancy Ann Jackson Massage Therapist 1010 Danconia Dr, Trail, OR 97541-9702 2014-09-25
1568690071 Nancy M Jackson Chore Provider 4019 Overland Pkwy, Toledo, OH 43612-1616 2009-06-24
1720206162 Nancy Louise Jackson Registered Nurse 9408 Van Antwerp Rd, Brighton, MI 48116-6245 2007-04-23
1548334634 Nancy Jo Jackson Counselor 4127 Francisco St, Pleasanton, CA 94566-5616 2006-11-20
1730708975 Nancy Angelia Jackson Speech-Language Pathologist 2655 Villa Creek Dr Ste 140, Dallas, TX 75234-7385 2020-04-08
1801216759 Nancy Jackson Student in an Organized Health Care Education/Training Program 530 Nw 27th St, Corvallis, OR 97330-5223 2014-04-18
1821419433 Nancy Jackson Behavioral Analyst 701 Jefferson Ave, Suite 301, Toledo, OH 43604-6955 2013-12-27
1225380959 Nancy Jackson Licensed Practical Nurse 4 Jefferson Plz, Poughkeepsie, NY 12601-4035 2012-10-04
1497002406 Nancy J. Jackson Case Manager/Care Coordinator 1738 N Waterman Ave, San Bernardino, CA 92404-5131 2012-08-08

Office Location

Street Address 1115 GARREDD BLVD
City AUGUSTA
State GA
Zip Code 30909

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154811511 Neighborhood Improvement Project Inc Obstetrics & Gynecology 1115 Garredd Blvd, Augusta, GA 30909-6674 2018-05-11
1922596386 Neighborhood Improvement Project Inc Obstetrics & Gynecology 1115 Garredd Blvd, Augusta, GA 30909-6674 2018-05-01
1043614712 Lawrence A Robillard Md PC Obstetrics & Gynecology 1115 Garredd Blvd, Augusta, GA 30909-6674 2014-10-09
1376631663 Peter Daniel Grossman Obstetrics & Gynecology 1115 Garredd Blvd, Augusta, GA 30909-6674 2006-10-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912513888 Lauran Simpson Behavior Technician 1237 Augusta West Parkway, Augusta, GA 30909 2020-09-16
1487273884 Still Perspectives Counseling LLC Counselor 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 2020-04-15
1598397838 Mjra Medical LLC Psychologist 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 2020-02-05
1003452319 Danny Robinson Counselor 2609 Commons Boulevard, Augusta, GA 30909 2019-11-21
1407498637 Candice M Cruse Social Worker 2609 Commons Blvd, Augusta, GA 30909 2019-10-09
1902363385 Mary D Jodon Pharmacist 3338 Wrightsboro Rd., Augusta, GA 30909 2019-02-21
1447790514 Burn Critical Care Associates, LLC Internal Medicine 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 2017-03-08
1124561766 Sasha Latara Mccraw Counselor 7303 Palomino Court, Augusta, GA 30909 2016-11-30
1174974620 Warren Umansky, Ph.d. Psychologist 302 Wheeler Executive Ctr, Augusta, GA 30909 2016-06-27
1811358955 Theodora Mcleskey Nurse Practitioner 1215 George C. Wilson Drive, Augusta, GA 30909 2016-03-17
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588145106 Stephanie Madeline Wright Nurse Practitioner 1120 15th St # Ad3401, Augusta, GA 30912-0004 2018-08-22
1841732807 Robert Dean Whigham Nurse Practitioner 1510 C and S Dr, Augusta, GA 30909-2804 2016-11-08
1659731313 Robin Ann Lockhart Nurse Practitioner 1120 15th St Ba-9413, Augusta, GA 30912 2016-02-24
1598137481 Jason E Stephens Nurse Practitioner 1224 Augusta West Parkway, Augusta, GA 30909 2015-10-30
1063892644 Jasneth James Nurse Practitioner 3301 Woodville Rd, Augusta, GA 30909-9228 2015-06-09
1932588837 Audrey Chrisitne Usry Nurse Practitioner 1941 Phinizy Rd, Augusta, GA 30906-5173 2015-05-26
1114138013 Denise Kim Drake Nurse Practitioner 3624 J Dewey Gray Cir Ste 110, Augusta, GA 30909-6585 2007-05-24
1710194840 Au Nursing Associates, Inc. Nurse Practitioner 987 Saint Sebastian Way # Ec-1500, Augusta, GA 30912 2007-05-17
1396899167 Laura J Logue Nurse Practitioner 1411 Laney Walker Blvd # An2206, Mcg Cancer Center, Augusta, GA 30912-0002 2007-01-22
1154481448 Focused Wound Care Associates LLC Nurse Practitioner 263 Clay St, Augusta, MO 63332-1018 2006-12-09
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Competitor

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City AUGUSTA
Zip Code 30909

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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.

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