FRANCES A. JACKSON (NPI# 1639109697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639109697 |
| Entity Type | Individual |
| Full Name | FRANCES A. JACKSON |
| Credential | FNP, CS |
| Practice Address |
109 W Watauga Ave Johnson City TN 37604-5621 |
| Mailing Address |
1167 Spratlin Drive Gray TN 37615-6205 |
| Practice Telephone | 4232322600 |
| Practice Fax Number | 4232322646 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673710 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2017-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN06486 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
APN06486 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUECROSSBLUESHIELD | 4004827 | 01 |
| TN | JOHN DEERE | TN01D7 | 01 |
| TN | PHP | 100036825 | 01 |
| TN | 3343432 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174786263 | Frances Jackson | Speech-Language Pathologist | 508 Rea Street, Mansfield, LA 71052 | 2008-07-08 |
| 1124523220 | Frances Jackson | Speech-Language Pathologist | 2000 Ne 46th St, Kansas City, MO 64116-2042 | 2018-03-29 |
| 1689623381 | Frances Marie Jackson | Specialist | 13951 Terrace Rd, East Cleveland, OH 44112-4308 | 2006-05-09 |
| 1225022809 | Frances M Jackson | Pediatrics | 1223 S Gear Ave, Ste 108, West Burlington, IA 52655-1682 | 2005-09-09 |
| Street Address |
109 W WATAUGA AVE |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922068022 | Constance Sue Lackner-mullins | Nurse Practitioner | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2006-03-24 |
| 1417565201 | Christine A Oaks | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2020-07-17 |
| 1205459245 | Makayla W Shippy | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2020-05-26 |
| 1336774652 | Meagan Elizabeth Smith- Quisenberry | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2020-03-06 |
| 1063071926 | Christy R. Crick | Marriage & Family Therapist | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2019-06-13 |
| 1528539582 | Aaron Free | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-12-16 |
| 1144700337 | Marcus Antonio (tony) Chambers | Licensed Practical Nurse | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-08-16 |
| 1952897357 | Kristina S Roberts | Psychologist | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2018-07-09 |
| 1457845869 | Lurelle Louise Maxey | Counselor | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2018-06-19 |
| 1679079206 | Tyler Daniel Garland | Case Manager/Care Coordinator | 109 W Watauga Ave, Johnson City, TN 37604-5668 | 2018-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851452288 | Lisa D Blevins | Clinical Nurse Specialist | 403 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2006-12-12 |
| 1114941291 | Stephen Lloyd Haile | Clinical Nurse Specialist | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144734963 | La'wanda Y. Jenkins | Clinical Nurse Specialist | 814 Wren Rd Ste A, Goodlettsville, TN 37072-2312 | 2017-12-01 |
| 1841663705 | Rhonda Lou Thompson | Clinical Nurse Specialist | 1160 Chickadee Cir, Hermitage, TN 37076-5627 | 2015-11-01 |
| 1568691566 | Diana C. Baker | Clinical Nurse Specialist | 5179 Normandy Ln, Memphis, TN 38117-2850 | 2009-07-11 |
| 1689886376 | Debra J. Partee | Clinical Nurse Specialist | 222 Gocchaux Hall, 461 21st Avenue South, Nashville, TN 37240-0001 | 2007-05-04 |
| 1285743286 | Lucy Kniseley | Clinical Nurse Specialist | Student Health Center University of Tn, 1800 Volunteer Blvd, Knoxville, TN 37996-0001 | 2006-08-30 |
| 1376988220 | Wendy K Wilson | Clinical Nurse Specialist | 2011 Ashwood Ave, Nashville, TN 37212-5015 | 2013-05-06 |
| 1144509837 | Anita Waid | Clinical Nurse Specialist | 880 Madison Ave, Memphis, TN 38103-3409 | 2011-08-11 |
| 1114175163 | Linda Marie Mcbride | Clinical Nurse Specialist | 425 5th Ave N, Cordell Hull Building-dmhdd 3rd Floor, Nashville, TN 37243-3400 | 2008-09-03 |
| 1336320886 | Minnie Bernice Troupe | Clinical Nurse Specialist | 100 Moccasin Bend Rd, Chattanooga, TN 37405-4415 | 2007-11-26 |
| 1831306562 | Susan D. Swanson-moore | Clinical Nurse Specialist | 300 20th Ave N, 9th Floor, Nashville, TN 37203-2131 | 2007-05-16 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.