TINA MARIE JACKSON (NPI# 1639202336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639202336 |
| Entity Type | Individual |
| Full Name | TINA MARIE JACKSON |
| Credential | ANP |
| Practice Address |
300 Keisler Drive Suite 204 Cary NC 27518 |
| Mailing Address |
1525 Crickett Rd Raleigh NC 27610-9327 |
| Practice Telephone | 9192330059 |
| Practice Fax Number | 9192330343 |
| Mailing Telephone | 9192666565 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
900192 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891296356 | Tina Lorraine Jackson | Behavior Technician | 1045 Jensen Cir, Pittsburg, CA 94565-6311 | 2018-02-21 |
| 1679723977 | Tina Jackson | Licensed Practical Nurse | 1 Arden Ln Apt A, Eastampton, NJ 08060-3371 | 2008-09-23 |
| 1114429313 | Tina Marie Jackson | Chore Provider | 550 W Pioneer Blvd Ste 204, Mesquite, NV 89027-1406 | 2018-03-02 |
| 1376968172 | Tina Jackson | Social Worker | 16351 I94, Home On The Range, Sentinel Butte, ND 58654-9500 | 2014-03-03 |
| 1881809291 | Tina E Jackson | Counselor | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2007-05-11 |
| 1801015821 | Tina Louise Jackson | Psychiatry & Neurology | 240 W Tyrone Rd, Oak Ridge, TN 37830-6517 | 2007-04-25 |
| Street Address |
300 KEISLER DRIVE SUITE 204 |
| City | CARY |
| State | NC |
| Zip Code | 27518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114042892 | Melynda Whitmer Smith | Nurse Practitioner | 3600 Northwest Cary Pkwy., Suite 104, Cary, NC 27513-8457 | 2007-03-20 |
| 1689770125 | Sharilyn Hope Lemon | Nurse Practitioner | 4000 Glenaire Circle, Cary, NC 27511 | 2006-09-15 |
| 1750945234 | Sarah Elizabeth Bartlett | Nurse Practitioner | 105 Sw Cary Pkwy Ste 300, Cary, NC 27511-5600 | 2019-04-30 |
| 1396299939 | Kristin Timpy | Nurse Practitioner | 200 Keisler Dr, Suite B, Cary, NC 27518-8801 | 2016-08-11 |
| 1265840169 | April Lenker | Nurse Practitioner | 300 Ashville Ave, Suite 301, Cary, NC 27518-8682 | 2014-07-24 |
| 1033487806 | Gregory Thomas Anderson | Nurse Practitioner | 160 Macgregor Pines Dr, Cary, NC 27511-6036 | 2011-12-08 |
| 1467733600 | Kamlesh I Dubal | Nurse Practitioner | 2994 Kildaire Farm Rd, Cary, NC 27518-9614 | 2011-09-01 |
| 1699054593 | Clare Wechter Bremer | Nurse Practitioner | 216 Ashville Ave, Ste 20, Cary, NC 27518-6679 | 2011-08-09 |
| 1912154410 | Wendy Cannon Tippette | Nurse Practitioner | 1515 Sw Cary Pkwy, Cary, NC 27511-6224 | 2008-08-26 |
| 1629297429 | Dwan Kelsey | Nurse Practitioner | 6590 Tryon Rd, Cary, NC 27511-7052 | 2007-04-24 |
| Find all providers in CARY | ||||
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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.