NICOLE JACKSON (NPI# 1508334053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508334053 |
| Entity Type | Individual |
| Full Name | NICOLE JACKSON |
| Practice Address |
508 Shattuck Rd Saginaw MI 48604-2329 |
| Practice Telephone | 9897527867 |
| Practice Fax Number | 9897526830 |
| Mailing Telephone | 9897527867 |
| Mailing Fax Number | 9897526830 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184689 | Nicole Jackson | Specialist | 3983 Thunder Heights Ln, Middleburg, FL 32068-7362 | 2014-08-05 |
| 1053745521 | Nicole L Jackson | Counselor | 3394 Mckelvey Rd Ste 116, Bridgeton, MO 63044-2531 | 2013-09-02 |
| 1245569276 | Nicole Denise Jackson | Licensed Practical Nurse | 2122 Ridge Rd W, Rochester, NY 14626-2802 | 2009-12-22 |
| 1144559931 | Nicole L Jackson | Licensed Practical Nurse | 18680 Main Street, Tontogany, OH 43565 | 2009-12-08 |
| 1144489261 | Nicole L. Jackson | Counselor | 6815 W Capitol Dr Ste 304, Milwaukee, WI 53216-2056 | 2008-06-04 |
| 1124299680 | Nicole Jackson | Licensed Practical Nurse | 1830 Southern Pkwy, Springfield, OH 45506-3115 | 2008-03-12 |
| 1578740023 | Nicole Jackson | Counselor | 3630 George Washington Hwy, Ste B-6, Yorktown, VA 23693 | 2008-01-28 |
| 1205999588 | Nicole Lewis Jackson | Dentist | 3298 Northside Dr, Macon, GA 31210 | 2006-12-18 |
| 1104447275 | Nicole Feliz Jackson | Specialist/Technologist | 1301 S Us Highway 377, Argyle, TX 76226-7744 | 2020-04-30 |
| 1023637220 | Nicole Jackson | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-04-09 |
| Street Address |
508 SHATTUCK RD |
| City | SAGINAW |
| State | MI |
| Zip Code | 48604-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548399165 | Shannon Melissa Taylor Bond | Counselor | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2007-03-02 |
| 1861023509 | Benjamin Samuel Holm | Counselor | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2020-01-31 |
| 1457993289 | Lorene Margaret Wamsley | Social Worker | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2019-10-14 |
| 1386114783 | Denise Ann Stark | Case Manager/Care Coordinator | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2018-11-28 |
| 1891294542 | Janice Elizabeth Grigsby | Counselor | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2018-02-08 |
| 1639688534 | Jene' Lindsay Taylor | Counselor | 508 Shattuck Rd, Saginaw, MI 48604 | 2017-09-22 |
| 1801330535 | Danielle Mcdowell | Counselor | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2016-12-14 |
| 1427592401 | Bobbi J Lesko | Counselor | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2016-12-12 |
| 1851845408 | Jessica Sue Peterson | Social Worker | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2016-08-12 |
| 1285086140 | Chelsey Unsworth | Social Worker | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2016-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090318 | Paulette Marie Giltrop | Technician | 2930 Eddy St, Saginaw, MI 48604 | 2019-09-03 |
| 1821419797 | Kathleen Klonowski, Dds and Ashly Bailey, Dds, Plc | Clinic/Center | 4685 E. Mcleod Dr., Saginaw, MI 48604 | 2013-12-19 |
| 1245508811 | Universal Health Group, Inc | Chiropractor | 4700 East Mcleod, Saginaw, MI 48604 | 2011-12-09 |
| 1982980751 | Vivid Idea Rehab | Home Health | 2101 West Stoker Dr, Saginaw, MI 48604 | 2011-10-25 |
| 1518266683 | Rashad H Leflore | Driver | 1293 Tittabawassee Rd Apt G, Saginaw, MI 48604 | 2011-03-15 |
| 1033392089 | Raquel N. Dorin | Physical Therapist | 2716 Liberty, Saginaw, MI 48604 | 2007-12-13 |
| 1760604854 | Matthew Thomas Kisabeth | Optometrist | 5650 Bay Road, Saginaw, MI 48604 | 2007-05-02 |
| 1861613556 | Loretta O'donnell | Pathology | 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 | 2007-05-01 |
| 1265652325 | Tracey M Mallek | Physical Therapist | 4901 Town Center Rd, Suite 300, Saginaw, MI 48604 | 2007-04-30 |
| 1588783062 | Harprabhjit Singh | Internal Medicine | 4680 Mcleod Dr E., Saginaw, MI 48604 | 2007-03-28 |
| Find all providers in zip 48604 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669939492 | Tyana Mcdaniel | Counselor | 6140 Hallmark Ct, Saginaw, MI 48603-4860 | 2019-02-28 |
| 1093105157 | Cynthia Moten | Counselor | 128 North Weadock, Saginaw, MI 48607 | 2015-01-28 |
| 1184013682 | Stacye Williams | Counselor | 127 N Warren Ave, Saginaw, MI 48607 | 2015-01-21 |
| 1063839645 | Hilary A Vansickle | Counselor | 3500 S Washington Rd, Saginaw, MI 48601-4958 | 2014-03-21 |
| 1356773634 | Randall E Genow II | Counselor | 5360 Hampton Pl Ste 200, Saginaw, MI 48604-9451 | 2013-08-08 |
| 1144596073 | Sharon Renee' Berkobien | Counselor | 3400 S. Washington, Saginaw, MI 48601 | 2012-03-26 |
| 1679802870 | Deidrea Sanders | Counselor | 2127 Maplewood Ave, Saginaw, MI 48601-3604 | 2009-12-17 |
| 1528230943 | Rosetta Harrell | Counselor | 2220 N Morson St, Saginaw, MI 48602-3457 | 2008-03-26 |
| 1730365602 | Oslin Brummell-presley | Counselor | 1226 S Jefferson Ave, Saginaw, MI 48601-2634 | 2008-01-10 |
| 1548399165 | Shannon Melissa Taylor Bond | Counselor | 508 Shattuck Rd, Saginaw, MI 48604-2329 | 2007-03-02 |
| Find all providers in SAGINAW | ||||
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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.