ROSE JACKSON


Address: 1035 Cheraw St., Bennettsville, SC 29512-0918
Phone: 8434540841

ROSE JACKSON (NPI# 1528214418) 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) 1528214418
Entity Type Individual
Full Name ROSE JACKSON
Other Name ROSE JACKSON
Practice Address 1035 Cheraw St.
Bennettsville
SC 29512-0918
Mailing Address 1035 Cheraw St.
Bennettsville
SC 29512
Practice Telephone 8434540841
Mailing Telephone 8434540841
Enumeration Date 2008-08-12
Last Update Date 2008-08-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
89843 SC Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC 405127 05

Other Providers ROSE JACKSON

NPI Name Taxonomy Address Enumeration
1235400268 Rose Marie Jackson Counselor 6730 Independence Boulevard, Suite 300, Baytown, TX 77521 2012-01-23
1316122088 Rose Louise Jackson Home Health 3450 Indiana Ave, Saint Louis, MO 63118-3233 2007-12-31
1275742025 Rose Marie Jackson Social Worker 3150 Parker Rd, Florissant, MO 63033-3760 2007-05-21
1699803510 Rose Ann Jackson Licensed Practical Nurse 187 Clinton Ave, Apt B, Kingston, NY 12401-5028 2007-03-01
1699037705 Rose Denise Jackson Case Manager/Care Coordinator 11565 Lone Desert Dr, 11565 Lone Desert Dr, Reno, NV 89506-5566 2012-06-13
1609023902 Rose Anne Jackson Psychologist 631 N College Ave, Bloomington, IN 47404-3871 2008-08-19
1528197100 Rose Jackson Counselor 413 Spring St, Chattanooga, TN 37405-3848 2007-03-02

Office Location

Street Address 1035 CHERAW ST.
City BENNETTSVILLE
State SC
Zip Code 29512-0918

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346226453 Hossan A Hassan Specialist 1035 Cheraw St., Bennettsville, SC 29512 2005-12-20
1356844278 Mariano Llovido Razon IIi Nurse Practitioner 1035 Cheraw St., Bennettsville, SC 29512 2018-03-16
1477056372 Quaneaka Chintell Reed Registered Nurse 1035 Cheraw St., Bennettsville, SC 29512 2018-03-16
1982075123 Earlean Renita Hall Counselor 1035 Cheraw St., Bennettsville, SC 29512 2015-10-14
1144698093 Cynthia L King-bridges Counselor 1035 Cheraw St., Bennettsville, SC 29512 2015-09-09
1750724324 Wanda S. Renfrow Counselor 1035 Cheraw St., Bennettsville, SC 29512 2013-04-12
1083968218 Amanda H. Steen Registered Nurse 1035 Cheraw St., Bennettsville, SC 29512 2012-11-09
1710246863 Aimee Elizabeth Seals Counselor 1035 Cheraw St., Bennettsville, SC 29512 2012-05-10
1780940841 Rachel La-nise Norris Counselor 1035 Cheraw St., Bennettsville, SC 29512 2012-04-03
1033484753 Eunice Carnelia Bell Counselor 1035 Cheraw St., Bennettsville, SC 29512 2012-03-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861841371 Anna Paige Paul Counselor 1035 Cherau St, Bennettsville, SC 29512 2016-06-06
1821468679 Kristen Dana Oliver Social Worker 1035 Cherow St., Bennettsville, SC 29512 2015-10-05
1285022749 3-points Coastal Care,llc Community/Behavioral Health 1300 West Main St, Bennettsville, SC 29512 2015-01-06
1437572328 Terri Cardenas Woodham Pharmacist 336 Highway 9 West, Bennettsville, SC 29512 2014-01-28
1851712533 Amy Kessler Pharmacist 336 Hwy 9 West, Bennettsville, SC 29512 2013-12-23
1346677184 Daniel Louis Lockamy Counselor 284 Tatum Rd, Bennettsville, SC 29512 2013-10-10
1164772596 Melissa Irene Pletan Pharmacist 1085 Cottingham Blvd, Ste 3, Bennettsville, SC 29512 2012-09-13
1730440769 Cigna Onsite Health LLC Non-Pharmacy Dispensing Site 2094 Marlboro Rd, Bennettsville, SC 29512 2012-06-06
1649572710 Ingram Health Service/manna House.inc Case Management 211 N Market Street, Bennettsville, SC 29512 2010-11-23
1952564387 Gregory Wayne Alford Community Health Worker 610 State Street Ext, Bennettsville, SC 29512 2008-07-07
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104938232 Catherine W Erwin Registered Nurse 1035 Cheraw Hwy, Tri County Community Mental Health Center, Bennettsville, SC 29512 2006-08-31
1922119031 Betty R Bethea Registered Nurse 1197 Hamlet Hwy Box 13, Bennettsville, SC 29512 2006-08-31
1477056372 Quaneaka Chintell Reed Registered Nurse 1035 Cheraw St., Bennettsville, SC 29512 2018-03-16
1720375298 Lacey Whitaker Lee Registered Nurse 1035 Cheraw St., Bennettsville, SC 29512 2011-07-06
1679897797 Lisa C Long Registered Nurse 1035 Cheraw St, Bennettsville, SC 29512 2010-03-18
1104053016 Stephanie Lamar Black Registered Nurse 1035 Cheraw Street, Bennettsville, SC 29512 2009-06-18
1790969707 Natalie Monique Quick Registered Nurse 1197 Hamlet Hwy, Bennettsville, SC 29512 2007-12-27
1588775613 Carolyn T Cohen Registered Nurse 1035 Cheraw St, Bennettsville, SC 29512 2006-08-31
1902918063 Susan G Reed Registered Nurse 1035 Cheraw St, Bennettsville, SC 29512 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235773326 Edith Bostic Registered Nurse 409 Paul St, Conway, SC 29527-5823 2019-10-31
1073167185 Shyeasha Wilson Registered Nurse 1460 Oakcrest Dr Apt 2120, Columbia, SC 29223-1746 2019-07-26
1053806380 Hannah Jones Registered Nurse 111 Commons Way, Greenville, SC 29611 2018-06-28
1689122640 Chanelle M Johnson Registered Nurse 217 Gateway Ln, Columbia, SC 29210-7452 2016-09-19
1548635873 Melissa Davis Ellington Registered Nurse 900 South 4th Street, Hartsville, SC 29550 2015-12-11
1902212251 New Day Emotional Care, LLC Registered Nurse 2117 W Palmetto St Ste A, Florence, SC 29501-3902 2014-07-08
1194137091 Carmen White-baltimore Registered Nurse 4794 Baltimore Pl, Charleston, SC 29418-3485 2014-05-27
1518381599 Rosalinde M Rhynes Registered Nurse 3805 Saluda Rd, Rock Hill, SC 29730-7262 2014-02-11
1952654527 Veronica Smith Registered Nurse 3473 Lockhart Hwy, Union, SC 29379-8526 2012-10-19
1154670586 Karissa Ann Chorbajian Registered Nurse 248 Earle Dr, Greenville, SC 29611-4408 2012-08-30
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Competitor

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City BENNETTSVILLE
Zip Code 29512

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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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