STACEY RENEE JACKSON (NPI# 1669828224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669828224 |
Entity Type | Individual |
Full Name | STACEY RENEE JACKSON |
Credential | NP |
Practice Address |
906 W Randol Mill Rd Arlington TX 76012-2510 |
Practice Telephone | 8172614906 |
Practice Fax Number | 8172615837 |
Mailing Telephone | 8172614906 |
Mailing Fax Number | 8172615837 |
Enumeration Date | 2016-05-12 |
Last Update Date | 2016-07-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP130643 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
1134645674 | Stacey Jackson | Nurse Practitioner | 1604 Hospital Pkwy Ste 100, Bedford, TX 76022-5913 | 2017-08-16 |
1508301292 | Stacey Jackson | Registered Nurse | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2017-01-04 |
1497142459 | Stacey Ann Jackson | Nurse Practitioner | 1010 Central Avenue, Suite 2, Billings, MT 59102 | 2015-04-16 |
1760807234 | Stacey Renea Jackson | Counselor | 619 N Main St, Muskogee, OK 74401-4431 | 2014-02-20 |
1477849826 | Stacey Jo Jackson | Specialist | 17 S Central Ave, Idabel, OK 74745-4625 | 2011-06-23 |
1790926905 | Stacey L. Jackson | Counselor | 191 Memorial Dr, Pacolet, SC 29372-2255 | 2009-03-18 |
1578722278 | Stacey Marie Jackson | Physical Therapy Assistant | 4680 Cordata Pkwy, Bellingham, WA 98226-8038 | 2008-06-06 |
1659562692 | Stacey Lajune Jackson | Psychologist | 110 Eagles Walk, Ste. 100, Stockbridge, GA 30281-7204 | 2007-08-06 |
1457470726 | Stacey A Jackson | Pharmacist | 3301 Gordon Dr, Sioux City, IA 51105-3708 | 2007-03-28 |
Street Address |
906 W RANDOL MILL RD |
City | ARLINGTON |
State | TX |
Zip Code | 76012-2510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164423414 | Metroplex Hematology Oncology Associates | Durable Medical Equipment & Medical Supplies | 906 W Randol Mill Rd, Arlington, TX 76012-2510 | 2005-08-09 |
1366731192 | Texas Health Physicians Group | Durable Medical Equipment & Medical Supplies | 906 W Randol Mill Rd, Arlington, TX 76012-2510 | 2011-04-01 |
1629367453 | Texas Health Physicians Group | Pharmacy | 906 W Randol Mill Rd, Arlington, TX 76012-2510 | 2011-04-01 |
1972822914 | Medical Edge Healthcare Group P A | Pharmacy | 906 W Randol Mill Rd, Arlington, TX 76012-2510 | 2010-05-28 |
1215269659 | Medical Edge Healthcare Group Pa | Durable Medical Equipment & Medical Supplies | 906 W Randol Mill Rd, Arlington, TX 76012-2510 | 2010-02-10 |
1659524221 | Laboratory Corporation of America | Clinical Medical Laboratory | 906 W Randol Mill Rd, Suite 160, Arlington, TX 76012-2510 | 2008-10-28 |
1114971736 | Mandar V Joshi | Radiology | 906 W Randol Mill Rd, Arlington Cancer Center, Arlington, TX 76012-2510 | 2006-05-19 |
1669464848 | Metroplex Hematology Oncology Associates | Radiology | 906 W Randol Mill Rd, Arlington, TX 76012-2510 | 2005-08-16 |
1134121668 | Sohail Akbani | Internal Medicine | 906 W Randol Mill Rd, Arlington Cancer Center, Arlington, TX 76012-2510 | 2005-08-15 |
1104828664 | Alfred Di Stefano | Internal Medicine | 906 W Randol Mill Rd, Arlington, TX 76012-2510 | 2005-08-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
1932762531 | Devin Austin Deloe | Speech-Language Pathologist | Arlington Villas, 2601 W Randol Mill Rd., Arlington, TX 76012 | 2019-04-18 |
1275000135 | Soh of Texas Samson Liu Pllc | Dentist | 1625 Pecan Dr, Arlington, TX 76012 | 2018-10-30 |
1295200749 | Eness, Inc. | In Home Supportive Care | 1321 West Randol Mill Road, #108, Arlington, TX 76012 | 2018-10-11 |
1073967626 | Maya Alex Kuriakose | Obstetrics & Gynecology | 1001 N. Waldrop, Suite 505, Arlington, TX 76012 | 2016-04-20 |
1710359971 | Amir Izaddoust | Dentist | 723 N. Fielder Rd, Suite E, Dallas, TX 76012 | 2015-10-28 |
1639553738 | Alicia Rider | Specialist/Technologist | 1507 Cherokee Szt, Arlington, TX 76012 | 2015-07-17 |
1508274614 | Neurodiagnostic Consultants, L.L.C. | Specialist | 1102 Orchard Drive, Arlington, TX 76012 | 2014-08-01 |
1578974663 | Lan Ngoc Nguyen, Pharm.d.,,llc | Pharmacy | 1102 Orchard Dr., Suite B, Arlington, TX 76012 | 2014-05-12 |
1871854471 | Takeisha Jones | Occupational Therapy Assistant | 532 Claire Ct, Arlington, TX 76012 | 2012-05-31 |
Find all providers in zip 76012 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275160566 | Jerise Atock Agha | Nurse Practitioner | 7307 Fossil Lake Dr, Arlington, TX 76002-4713 | 2020-03-25 |
1144788480 | Ronel Layugan | Nurse Practitioner | 1805 N Collins St Ste 101, Arlington, TX 76011-4311 | 2019-03-05 |
1679037626 | Tiffany A Darling | Nurse Practitioner | 4872 Bailey Dr, Arlington, TN 38002-5830 | 2019-01-24 |
1518439017 | Adedoyin Aderonmu | Nurse Practitioner | 4515 Chaumont Trl, Arlington, TX 76013-8341 | 2018-12-20 |
1467940759 | North Texas Nephrology Associates, P.a. | Nurse Practitioner | 1132 South Bowen Road, Arlington, TX 76013 | 2018-04-23 |
1104298686 | North Texas Mobile Urgent Care, Pllc | Nurse Practitioner | 805 Washington Dr., Suite F, Arlington, TX 76011 | 2015-10-23 |
1245661735 | Patrick James Sherlock | Nurse Practitioner | 8200 Matlock Rd, Ste. #100, Arlington, TX 76002-4804 | 2013-12-09 |
1376699769 | Melinda G Brockman | Nurse Practitioner | 1001 N Waldrop Dr Ste 509, Arlington, TX 76012-4703 | 2007-01-26 |
1710937016 | Sandra Laird | Nurse Practitioner | 3921 W Green Oaks Blvd, Suite D, Arlington, TX 76016-2764 | 2006-05-10 |
1952913188 | Marjorie Griffin | Nurse Practitioner | 701 S Nedderman Dr, Arlington, TX 76019-9800 | 2020-08-19 |
Find all providers in ARLINGTON |
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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.