MS. ANITRA L JACKSON (NPI# 1497718811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497718811 |
| Entity Type | Individual |
| Full Name | MS. ANITRA L JACKSON |
| Credential | NP |
| Practice Address |
310 Smith Ave N Saint Paul MN 55102-2393 |
| Mailing Address |
310 Smith Ave N Saint Paul MN 55102-2383 |
| Practice Telephone | 9528434333 |
| Practice Fax Number | 9528434301 |
| Mailing Telephone | 9528434333 |
| Mailing Fax Number | 9528434301 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
R1308387 | MN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396054094 | Anitra Jackson | Community Health Worker | 3900 W Charleston Blvd, Ste 170, Las Vegas, NV 89102-1628 | 2010-09-28 |
| Street Address |
310 SMITH AVE N |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053303156 | David J Zaleske | Orthopaedic Surgery | 310 Smith Ave N, Suite 120, Childrens Specialty Clinic-orthopaedics-stpl, Saint Paul, MN 55102-2393 | 2005-08-16 |
| 1801259015 | Alicia Cain | Social Worker | 310 Smith Ave N, Suite 300, Saint Paul, MN 55102-2393 | 2016-04-04 |
| 1730554098 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 310 Smith Ave N, Suite 330, Saint Paul, MN 55102-2393 | 2015-12-11 |
| 1487080974 | Orthotic Care Services LLP | Prosthetic/Orthotic Supplier | 310 Smith Ave N, Ste 430, Saint Paul, MN 55102-2393 | 2013-09-17 |
| 1679864201 | Yosef Y Wexler | Pediatrics | 310 Smith Ave N, Ritchie Medical Plaza Suite 480, Saint Paul, MN 55102-2393 | 2011-05-01 |
| 1629381314 | Chad M Engelhart | Physician Assistant | 310 Smith Ave N, Ritchie Medical Plaza #330, Saint Paul, MN 55102-2393 | 2010-07-22 |
| 1245373646 | Minnesota Oncology Hematology, Pa | Internal Medicine | 310 Smith Ave N, Suite 460, Saint Paul, MN 55102-2393 | 2007-02-15 |
| 1548303647 | Minnesota Oncology Hematology, Pa | Internal Medicine | 310 Smith Ave N, Suite 430, Saint Paul, MN 55102-2393 | 2007-02-15 |
| 1457494551 | Minnesota Oncology Hematology, Pa | Internal Medicine | 310 Smith Ave N, Suite 480, Saint Paul, MN 55102-2393 | 2007-02-15 |
| 1114962214 | Bariatric Specialists of Minnesota | Specialist | 310 Smith Ave N, Saint Paul, MN 55102-2393 | 2006-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407828023 | Judith Bourland | Registered Nurse | 17 Exchange St W, #222, Saint Paul, MN 55102-1045 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528685880 | Nelia Marapao Silva-kane | Registered Nurse | 2081 Chester St, Shakopee, MN 55379-4375 | 2020-07-02 |
| 1407479231 | Natalie Frost | Registered Nurse | 11233 Nevada Ave N, Champlin, MN 55316-3363 | 2020-05-27 |
| 1629604087 | Jackie Lea Lindberg | Registered Nurse | 706 26th St, Cloquet, MN 55720-2726 | 2020-03-18 |
| 1578101747 | Pandora Bazen Dickson | Registered Nurse | 7400 122nd Ave N, Champlin, MN 55316-2127 | 2019-12-18 |
| 1922581982 | Abdullahi Omar Osobow | Registered Nurse | 2021 E Hennepin Ave Ste 402-1, Minneapolis, MN 55413-2700 | 2018-09-14 |
| 1952808784 | Zakaria Chege | Registered Nurse | 7290 Stewart Dr, Eden Prairie, MN 55346-3248 | 2018-04-09 |
| 1427575166 | Christine Mazanec | Registered Nurse | 3424 W Park Dr, Burnsville, MN 55306-6981 | 2017-08-24 |
| 1407393929 | Dechen C Jamling | Registered Nurse | 7361 Jackson St Ne, Fridley, MN 55432-3208 | 2017-01-23 |
| 1073050704 | Catherine Passe | Registered Nurse | 600 Central Street Avenue East, St Michael, MN 55376 | 2017-01-19 |
| 1477938389 | Kristina Nowak | Registered Nurse | 2310 Park Ave Nw, #203, Faribault, MN 55021-9221 | 2015-07-22 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
Please comment or provide details below to improve the information on MS. ANITRA L 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.