MISS FREDDA NAKIA JACKSON


Address: 100 Madison Ave, Morristown, NJ 07960-6136
Phone: 2017048416

MISS FREDDA NAKIA JACKSON (NPI# 1487968012) 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) 1487968012
Entity Type Individual
Full Name MISS FREDDA NAKIA JACKSON
Credential MSN, APN-C
Practice Address 100 Madison Ave
Morristown
NJ 07960-6136
Mailing Address Po Box 416457
Boston
MA 02241-6457
Practice Telephone 2017048416
Mailing Telephone 9736566280
Enumeration Date 2010-08-06
Last Update Date 2013-12-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
26NJ00264900 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 100 MADISON AVE
City MORRISTOWN
State NJ
Zip Code 07960-6136

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932109493 Marc Eliot Goldschmidt Internal Medicine 100 Madison Ave, Morristown, NJ 07960-6136 2005-07-27
1649885351 Talha Iqbal Student in an Organized Health Care Education/Training Program 100 Madison Ave, Morristown, NJ 07960-6136 2020-09-09
1972114361 Atlantic Imaging Services LLC Radiology 100 Madison Ave, Morristown, NJ 07960-6136 2020-08-11
1992322093 Ruth Henriquez Nurse Practitioner 100 Madison Ave, Morristown, NJ 07960-6136 2020-07-06
1639796154 Gianna Scaglione Pa-c LLC Physician Assistant 100 Madison Ave, Morristown, NJ 07960-6136 2020-06-30
1982220240 Jordan Nelson Student in an Organized Health Care Education/Training Program 100 Madison Ave, Morristown, NJ 07960-6136 2020-06-23
1669096707 Stacie Tittamin Registered Nurse 100 Madison Ave, Morristown, NJ 07960-6136 2020-06-04
1851915235 Maureen Younan Student in an Organized Health Care Education/Training Program 100 Madison Ave, Morristown, NJ 07960-6136 2020-06-02
1972124493 Simrat Kaur Veera Student in an Organized Health Care Education/Training Program 100 Madison Ave, Morristown, NJ 07960-6136 2020-05-06
1003436734 Anthony Rizzuti Registered Nurse 100 Madison Ave, Morristown, NJ 07960-6136 2020-04-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710587050 Deborah Ann Straka-demarco Physical Therapist 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 2020-10-27
1962009381 Savannah Haririe Family Medicine 9 N Dorado Dr, Morristown, NJ 07960 2020-10-08
1063034718 Cerebral Palsy of North Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1050 Mount Kemble Avenue, Harding, NJ 07960 2020-05-15
1154801967 Danielle M Rediker Physical Therapist 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 2018-08-21
1982105631 Erin Scott Counselor 15 Elliott Street, Morristown, NJ 07960 2018-02-27
1992152029 Alfre Inc. Clinic/Center 56 Mt Kemble Ave, Morrsitown, NJ 07960 2016-05-18
1285081588 Pamela Marel Social Worker 3 First Street, Apt#2, Morristown, NJ 07960 2016-05-17
1346696671 Community Options Enterprises, Inc Day Training, Developmentally Disabled Services 150 -152 Speedwell Avenue, Morristown, NJ 07960 2016-05-05
1841654274 Matthew Olesiak Student in an Organized Health Care Education/Training Program 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 2016-04-12
1912372392 Universal Rehabilitation & Fitness Center Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 41 Tiger Lily Ln, Morristown, NJ 07960 2015-12-10
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699221697 Jaclyn Lawlor Nurse Practitioner 7 Bedford Pl, Morristown, NJ 07960-2703 2016-08-30
1871823583 Tara Beach Nurse Practitioner 100 Madison Ave Ste 4101, Morristown, NJ 07960-6136 2009-12-31
1841836780 Marissa Boyce Nurse Practitioner 310 Madison Ave, Morristown, NJ 07960-6967 2019-11-26
1033767652 Karen M Schorr Nurse Practitioner 100 Madison Ave, Morristown, NJ 07960-6136 2019-08-27
1801305420 Erin E Malloy Nurse Practitioner 100 Madison Ave, Morristown, NJ 07960-6136 2017-09-26
1346768942 Gina Rizzo Nurse Practitioner 310 Madison Ave, Morristown, NJ 07960 2017-09-03
1235674102 Rachel Shawne Hutchins Nurse Practitioner 100 Madison Ave Ste 4101, Carol G Simon Cancer Center 4th Floor, Morristown, NJ 07960-6136 2016-12-30
1225373756 Elizabeth Theresa Desantis Nurse Practitioner 100 Madison Ave Fl 2, Morristown, NJ 07960-6136 2012-12-10
1609178425 Lauren Krinsky Nurse Practitioner 100 Madison Ave, Morristown, NJ 07960-6136 2010-11-30
1275846008 Karen Lynn English Nurse Practitioner 100 Madison Ave, Morristown, NJ 07960-6136 2010-07-21
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Competitor

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City MORRISTOWN
Zip Code 07960

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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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