DR. PAMELA TAYLOR JACKSON


Address: 226 Louisiana Ave, Opelousas, LA 70570-3346
Phone: 3376781630

DR. PAMELA TAYLOR JACKSON (NPI# 1699851931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699851931
Entity Type Individual
Full Name DR. PAMELA TAYLOR JACKSON
Other Name MRS. PAMELA LAVERNE JACKSON
Credential DNP
Practice Address 226 Louisiana Ave
Opelousas
LA 70570-3346
Practice Telephone 3376781630
Practice Fax Number 3376781635
Mailing Telephone 3376781630
Mailing Fax Number 3376781635
Enumeration Date 2006-10-30
Last Update Date 2017-04-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner AP03530 LA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP03530 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1563404 05
LA MEDICARE PTAN 4B540 01

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Office Location

Street Address 226 LOUISIANA AVE
City OPELOUSAS
State LA
Zip Code 70570-3346

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952818056 Stephanie Brazda Social Worker 226 Louisiana Ave, Opelousas, LA 70570 2018-01-10
1477983062 Healthcare Dimensions LLC Nurse Practitioner 226 Louisiana Ave, Opelousas, LA 70570-3346 2013-11-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821608282 Dream Angels Agency Home Health 356 Country Ridge Rd., 21, Opelousas, LA 70570 2020-07-31
1588286389 Kasey Dunn Nurse Practitioner 3983 Interstate-49 South Service Rd., Suite 103, Opelousas, LA 70570 2020-05-14
1538704010 Southern Family Medicine, LLC Nurse Practitioner 10818 Hwy. 190, Opelousas, LA 70570 2019-11-08
1952952061 Check Point Urgent Care Clinic/Center 2331 S Union Street, Opelousas, LA 70570 2019-09-20
1639734015 Southern Pharmacy LLC Pharmacy 3939 I-49 South Service Rd., Opelousas, LA 70570 2019-05-01
1245708452 Anthony Ray Parker Jr. Case Manager/Care Coordinator 208 Ballard Loop, Opelousas, LA 70570 2018-11-06
1306329511 Katherine D Trahan Pharmacy 3935 I-49 South Service Rd, Opelousas, LA 70570 2018-09-13
1548752942 Justin Y Auzenne Driver 230 Lemelle St, Opelousas, LA 70570 2018-05-31
1063920650 Laykin Bellard Nurse Practitioner 3975 I-49 Frontage Rd, Suite 201, Opelousas, LA 70570 2018-01-17
1124535562 Lisa M Miller Counselor 1211 Austin Rd, Opelousas, LA 70570 2018-01-08
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811339591 Valecia Carter Vaughn Nurse Practitioner 8762 Hwy 162, Opelousas, LA 70590 2013-07-23
1073022950 Mind and Body Connections LLC Nurse Practitioner 2161 Babe St, Opelousas, LA 70570-3252 2017-09-24
1477983062 Healthcare Dimensions LLC Nurse Practitioner 226 Louisiana Ave, Opelousas, LA 70570-3346 2013-11-18
1366684201 Oceans Physicians Group LLC Nurse Practitioner 1310 Heather Dr, Opelousas, LA 70570-7714 2009-03-24

Providers in the same taxonomy and state

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1578183208 Donald Glyn Gardner II Nurse Practitioner 324 Blue Fox Cir, Haughton, LA 71037-7707 2020-04-22
1629604129 Raelyn Marie Plauche Nurse Practitioner 1951 Florida Ave Sw Ste D&e, Denham Springs, LA 70726-4947 2020-03-16
1962035964 Tyler Trenton Wansley Nurse Practitioner 23515 Us-190, Mandeville, LA 70448 2020-02-18
1114558715 Danielle J Threatts Aprn LLC Nurse Practitioner 208 W Gloria Switch Rd Ste 219, Lafayette, LA 70507-3409 2020-02-01
1992359848 Harold G Frizzell Psychiatric Services LLC Nurse Practitioner 300 Thompson Loop, Lafayette, LA 70506-2820 2019-07-29
1598227779 Candyce Brown Nurse Practitioner 333 Dr Michael Debakey Dr Ste 220, Lake Charles, LA 70601-5888 2019-04-04
1659835346 Cassandra Thomas-jingles Psychiatric Nurse Practitioner, LLC. Nurse Practitioner 156 Mcgehee Dr, Baton Rouge, LA 70815-5012 2019-01-26
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Competitor

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City OPELOUSAS
Zip Code 70570

Improve Information

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Dataset Information

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.

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