MRS. BILLIE JO JACKSON (NPI# 1689167736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689167736 |
| Entity Type | Individual |
| Full Name | MRS. BILLIE JO JACKSON |
| Credential | APRN |
| Practice Address |
18880 N Us Highway 119 Cumberland KY 40823-8106 |
| Mailing Address |
350 Ridge Rd Baxter KY 40806-8321 |
| Practice Telephone | 6065890130 |
| Mailing Telephone | 6065740939 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3012226 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KENTUCKY BOARD OF NURSING | 3012226 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235232430 | Billie Luke Jackson | Dermatology | 440 Charter Blvd, Suite 2201, Macon, GA 31210-4857 | 2006-09-06 |
| Street Address |
18880 N US HIGHWAY 119 |
| City | CUMBERLAND |
| State | KY |
| Zip Code | 40823-8106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316939614 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 18880 N Us Highway 119, Cumberland, KY 40823-8106 | 2005-08-22 |
| 1235642687 | Donell's Tri-city Pharmacy | Pharmacy | 18880 N Us Highway 119, Cumberland, KY 40823-8106 | 2017-11-08 |
| 1366561797 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 18880 N Us Highway 119, Cumberland, KY 40823 | 2007-03-28 |
| 1720112691 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 18880 N Us Highway 119, Cumberland, KY 40823 | 2007-03-15 |
| 1891771028 | Appalachian Regional Healthcare Inc | Pharmacy | 18880 N Us Highway 119, Cumberland, KY 40823-8106 | 2005-12-20 |
| 1649262999 | Pamela Sherman-sheffield | Nurse Practitioner | 18880 N Us Highway 119, Cumberland, KY 40823-8106 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801002977 | Dinah B Day | Case Manager/Care Coordinator | 4413 Cloverlick Rd, Cumberland, KY 40823 | 2007-05-15 |
| 1891890539 | Appalachian Regional Healthcare Inc | Pharmacy | 18880 N Us 119, Cumberland, KY 40823 | 2006-09-14 |
| 1770538613 | Cumberland Drug Company, Inc | Durable Medical Equipment & Medical Supplies | 1803 East Main Street, Cumberland, KY 40823 | 2006-05-22 |
| 1497212302 | Tracey Nycole Blakley | Nurse Practitioner | 1620 E Main St, Cumberland, KY 40823 | 2019-02-27 |
| 1629232673 | Michael A Sergent | Occupational Therapist | 19101 Us 119, Britthaven of Tri-cities, Cumberland, KY 40823-0079 | 2008-07-17 |
| 1366488934 | Homer Richard Fortney | Dentist | 110 Myers Street, Cumberland, KY 40823-0426 | 2006-06-21 |
| 1518586478 | Justin Newsome | Nurse Practitioner | 209 Field St, Cumberland, KY 40823-1407 | 2020-04-10 |
| 1326415084 | Chad Fields | Occupational Therapist | 222 Field St, Cumberland, KY 40823-1408 | 2015-08-28 |
| 1346735214 | Stepp Fitness | Specialist | 1306 Kingdom Come Dr, Cumberland, KY 40823-1580 | 2018-06-24 |
| 1760484208 | Christopher D Lewis | Nurse Practitioner | 103 Kingdom Come Dr, Cumberland, KY 40823-1590 | 2005-08-15 |
| Find all providers in zip 40823 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001818 | Shannon Nicole Martin | Nurse Practitioner | 924 Seton Dr # C, Cumberland, MD 21502-1851 | 2020-10-21 |
| 1518586478 | Justin Newsome | Nurse Practitioner | 209 Field St, Cumberland, KY 40823-1407 | 2020-04-10 |
| 1669037008 | Proactive Pain and Neurology, LLC | Nurse Practitioner | 925 Bishop Walsh Rd Ste 10, Cumberland, MD 21502-1845 | 2019-05-01 |
| 1043782790 | Prestige Family Healthcare LLC | Nurse Practitioner | 15 S Centre St, Cumberland, MD 21502-3017 | 2018-12-19 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1528556503 | Leigh Ann Wiltison | Nurse Practitioner | 15113 Trail Ridge Rd Sw # 11513, Cumberland, MD 21502-5846 | 2018-04-25 |
| 1972943322 | Belinda Hester | Nurse Practitioner | 72 Greene St, Cumberland, MD 21502-2933 | 2013-06-30 |
| 1750680831 | Krista Dawn Self | Nurse Practitioner | 14100 Mcmullen Hwy Sw, Cumberland, MD 21502-5777 | 2011-03-15 |
| 1548410921 | Cheryl K Nelson | Nurse Practitioner | 12401 Willowbrook Rd, Cumberland, MD 21502-2559 | 2008-09-23 |
| 1407973894 | Michele Wagoner | Nurse Practitioner | 1050 W Industrial Blvd Ste 17, Cumberland, MD 21502-4331 | 2007-03-23 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 40823 |
Please comment or provide details below to improve the information on MRS. BILLIE JO JACKSON.
| 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.