MS. MELISSA JACKSON


Address: 1820 California St Nw, 41, Washington, DC 20009-1824
Phone: 3406430283

MS. MELISSA JACKSON (NPI# 1538439112) 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) 1538439112
Entity Type Individual
Full Name MS. MELISSA JACKSON
Practice Address 1820 California St Nw
41
Washington
DC 20009-1824
Practice Telephone 3406430283
Mailing Telephone 3406430283
Enumeration Date 2012-01-12
Last Update Date 2012-01-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246QH0600X Spec/Tech, Pathology
Specialization: Histology
Technologists, Technicians & Other Technical Service Providers

Other Providers MELISSA JACKSON

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1346645231 Melissa Rene Jackson Advanced Practice Midwife 2744 Ewing Ave S, Minneapolis, MN 55416-4213 2014-11-04
1992048482 Melissa Michelle Jackson Speech-Language Pathologist 707 Marie Ave, Ruston, LA 71270-2715 2013-04-03
1033471065 Melissa Anne Jackson Specialist 3133 Broadway Apt 1, New York, NY 10027-4617 2012-06-14
1609145184 Melissa Rena Jackson Counselor 11541 Village Ave, Midwest City, OK 73130-8207 2011-12-29
1497064695 Melissa Lousie Jackson Neuromusculoskeletal Medicine, Sports Medicine 4 Victory Ln, Scarborough, ME 04074-8486 2010-10-05
1528224219 Melissa Jackson Psychiatry & Neurology 3250 Ne 1st Ave, Suite 317, Miami, FL 33137-4191 2008-08-01
1063681526 Melissa Odette Vega Jackson Occupational Therapist 3773 Seven Seas Ave, Land O Lakes, FL 34638-2905 2008-02-28

Office Location

Street Address 1820 CALIFORNIA ST NW
41
City WASHINGTON
State DC
Zip Code 20009-1824

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Taxonomy Information

Taxonomy Code 246QH0600X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Spec/Tech, Pathology
Specialization Histology

Taxonomy Definition

Definition to come...

Competitor

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City WASHINGTON
Zip Code 20009

Improve Information

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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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