MR. JONATHAN WESLEY JACKSON (NPI# 1629273735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629273735 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN WESLEY JACKSON |
| Credential | CRNA |
| Practice Address |
500 Lauchwood Drive Laurinburg NC 28352-5501 |
| Mailing Address |
Po Box 2257 Laurinburg NC 28353-2257 |
| Practice Telephone | 9106104011 |
| Practice Fax Number | 9102769412 |
| Mailing Telephone | 9106104011 |
| Mailing Fax Number | 9102760571 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2014-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 190408 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | APRN3271 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CCNA CERTIFICATION | 077609 | 01 |
| NC | 8053701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861754004 | Jonathan George Jackson | Registered Nurse | 120 Stockton Rd, Chuckey, TN 37641-5900 | 2012-06-13 |
| 1659659621 | Jonathan Brian Jackson | Dentist | 422 1/2 Violet Ave, Monrovia, CA 91016-6731 | 2011-07-25 |
| 1295354660 | Jonathan Jackson | Licensed Vocational Nurse | 8700 Crownhill Blvd, San Antonio, TX 78209-1136 | 2020-04-15 |
| 1033772603 | Jonathan William Jackson | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave Fl 8, New York, NY 10029-6508 | 2019-04-18 |
| 1790029171 | Jonathan Levi Jackson | Pharmacist | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2012-11-26 |
| 1164713467 | Jonathan Jackson | Clinic/Center | 425 Broadway St, Paducah, KY 42001-0713 | 2011-04-21 |
| 1205158730 | Jonathan L Jackson | Counselor | 1104a S Main St, Lexington, NC 27292-3134 | 2010-02-25 |
| 1295062792 | Jonathan Mark Jackson | Physical Therapist | 1000 3rd St, Tillamook, OR 97141-3430 | 2009-11-05 |
| 1891954566 | Jonathan D Jackson | Dentist | 335 E 400 S, Springville, UT 84663-1959 | 2008-06-06 |
| 1467577700 | Jonathan M Jackson | Psychologist | 140 Riverside Drive, 1r, New York, NY 10024 | 2007-03-19 |
| Street Address |
500 LAUCHWOOD DRIVE |
| City | LAURINBURG |
| State | NC |
| Zip Code | 28352-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114951423 | Andrew Philip Brown | Radiology | 500 Lauchwood Drive, Scotland Cancer Treatment Center, Laurinburg, NC 28352 | 2006-07-10 |
| 1730438839 | Tammy Welch Myatt | Lactation Consultant, Non-RN | 500 Lauchwood Drive, Laurinburg, NC 28352-5501 | 2012-09-05 |
| 1518272632 | Katherine Blackmon | Nurse Practitioner | 500 Lauchwood Drive, Laurinburg, NC 28352 | 2010-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497291645 | Hope Mckee | Physician Assistant | 500 Launchwood Dr, Laurinburg, NC 28352 | 2017-01-12 |
| 1174073753 | Scotland County Area Transit System | Non-emergency Medical Transport (VAN) | 1403- C West Boulevard, Laurinburg, NC 28352 | 2016-10-07 |
| 1972969780 | Onsite Healthcare Services LLC | Family Medicine | 9141 Tartan Road, Laurinburg, NC 28352 | 2016-01-08 |
| 1952775108 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 907 Us 401 Bypass, Laurinburg Commons, Laurinburg, NC 28352 | 2015-11-25 |
| 1790165165 | Sheena Kang Neil | Dentist | 109 Mcalpine Ln, Laurinburg, NC 28352 | 2015-06-01 |
| 1114321973 | Alicia Oxendine | Social Worker | 12121 Mccarter Avenue, Laurinburg, NC 28352 | 2014-10-22 |
| 1699185231 | Allen Ballew | Family Medicine | 1707 Berwick Dr Ste B, Laurinburg, NC 28352 | 2014-05-05 |
| 1205256435 | Sharon Miller | Social Worker | 405 Biggs St., Laurinburg, NC 28352 | 2014-04-28 |
| 1215375563 | Qwenzella Wynn | Counselor | 12640 Southwood Dr, Laurinburg, NC 28352 | 2013-06-10 |
| 1114360401 | Jewel Antiqual Mcintyre | Counselor | 420 Fairley Street, Laurinburg, NC 28352 | 2013-04-17 |
| Find all providers in zip 28352 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700366499 | Colby Hollis | Nurse Anesthetist, Certified Registered | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 | 2018-08-21 |
| 1427506625 | Esther Kurtz | Nurse Anesthetist, Certified Registered | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 | 2016-09-15 |
| 1437504610 | Craig Elliott Lowry I | Nurse Anesthetist, Certified Registered | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 | 2016-04-26 |
| 1114396496 | Emily Crabtree Purcell | Nurse Anesthetist, Certified Registered | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 | 2015-09-17 |
| 1316375694 | Dustin Harvey Melton | Nurse Anesthetist, Certified Registered | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 | 2013-10-23 |
| 1902165764 | Michael Patrick Brown | Nurse Anesthetist, Certified Registered | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 | 2012-05-14 |
| 1730445511 | Ryan C Smith | Nurse Anesthetist, Certified Registered | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 | 2012-04-06 |
| 1780609156 | Carol Moon | Nurse Anesthetist, Certified Registered | 500 E Lauchwood Dr, Laurinburg, NC 28352-5501 | 2006-07-13 |
| 1730161514 | Paul J Maholtz | Nurse Anesthetist, Certified Registered | 500 E Lauchwood Dr, Laurinburg, NC 28352-5501 | 2005-11-16 |
| 1679562334 | Scott D. Mcdannold | Nurse Anesthetist, Certified Registered | 500 E Lauchwood Dr, Laurinburg, NC 28352-5501 | 2005-10-17 |
| Find all providers in LAURINBURG | ||||
| City | LAURINBURG |
| Zip Code | 28352 |
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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.