HEATHER E JACKSON (NPI# 1699308569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699308569 |
| Entity Type | Individual |
| Full Name | HEATHER E JACKSON |
| Practice Address |
201 Plaza Dr Ste C Sikeston MO 63801-5105 |
| Mailing Address |
1008 N Main St Sikeston MO 63801-5044 |
| Practice Telephone | 5734812210 |
| Practice Fax Number | 5734812220 |
| Mailing Telephone | 5734711600 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2020003588 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386260545 | Heather Jackson | Registered Nurse | 2503 Beneva Rd Unit 8, Sarasota, FL 34232-3602 | 2020-06-23 |
| 1083266126 | Heather Jackson | Optometrist | 2070 Eagle Creek Ln Ste 200, Woodbury, MN 55129-3217 | 2019-07-09 |
| 1487194445 | Heather Jackson | Physical Therapist | 9263 Osborn Rd, Arlington, TN 38002-5922 | 2017-02-24 |
| 1255878203 | Heather Jackson | Nurse's Aide | 1103 Knoxville Hwy, Wartburg, TN 37887 | 2017-01-30 |
| 1053768176 | Heather Jackson | Counselor | 256 Carson Oaks Ln, Santa Rosa Beach, FL 32459-7149 | 2016-05-18 |
| 1851775761 | Heather Jackson | Speech-Language Pathologist | 3780 N Garfield Ave Ste 102, Loveland, CO 80538-2237 | 2015-07-10 |
| 1255734828 | Heather Jackson | Licensed Practical Nurse | 23953 Prairie Rd, Sedro Woolley, WA 98284-8598 | 2014-09-26 |
| 1649602905 | Heather Elizabeth Jackson | Nurse Practitioner | 6286 Pepper Hill St, West Bloomfield, MI 48322-2301 | 2013-08-08 |
| 1710933981 | Heather C. Jackson | Occupational Therapist | 974 E Main St, Mayo, FL 32066-5631 | 2006-05-26 |
| 1669090049 | Heather Lee Jackson | Advanced Practice Midwife | 2022 Kelle Dr, Chesterton, IN 46304-8708 | 2020-07-11 |
| Street Address |
201 PLAZA DR STE C |
| City | SIKESTON |
| State | MO |
| Zip Code | 63801-5105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639164189 | Kenneth Chi-kong Moy | Anesthesiology | 201 Plaza Dr Ste C, Sikeston, MO 63801-5105 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
| 1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
| 1780130930 | Delta South Adult Care Center LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
| 1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
| 1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
| 1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
| 1629195607 | Melissa A Stewart | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Dacus, Sikeston, MO 63801 | 2007-03-23 |
| Find all providers in zip 63801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538264072 | Judy Menz | Nurse Practitioner | 123 Smith Ave, Sikeston, MO 63801-5239 | 2006-09-13 |
| 1659987725 | Heather Vanpool | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2020-09-23 |
| 1417568585 | Rainee Davis Scott | Nurse Practitioner | 200 Pine St, Sikeston, MO 63801-3258 | 2020-08-12 |
| 1508484890 | Kayla Dicus | Nurse Practitioner | 123 Smith Ave, Sikeston, MO 63801-5239 | 2020-07-13 |
| 1588226468 | Allyson Elizabeth Asmus | Nurse Practitioner | 1012 N Main St, Sikeston, MO 63801-5097 | 2019-07-01 |
| 1700447315 | Samantha Marie Broughton | Nurse Practitioner | 201 Plaza Dr Ste A, Sikeston, MO 63801-5110 | 2019-06-25 |
| 1497217772 | Melanie Beth Bliese | Nurse Practitioner | 1012 N Main St, Sikeston, MO 63801 | 2019-04-04 |
| 1891270666 | Alexandria M Barker | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-09-27 |
| 1043796758 | Lauren Ashley Bissonnette | Nurse Practitioner | 1012 N Main St, Sikeston, MO 63801-5044 | 2018-07-16 |
| 1922501923 | Kristin Presley | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-03-15 |
| Find all providers in SIKESTON | ||||
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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.