DR. LISA RENE' JACKSON-CHERRY (NPI# 1750304275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750304275 |
| Entity Type | Individual |
| Full Name | DR. LISA RENE' JACKSON-CHERRY |
| Other Name | LISA RENE' JACKSON |
| Practice Address |
1114 Didinato Dr Chester Regional Medical Center Chester MD 21619 |
| Mailing Address |
704 Chester River Dr Grasonville MD 21638-1003 |
| Practice Telephone | 4104900535 |
| Mailing Telephone | 4108274164 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LCPC0403 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUE CROSS BLUE SHIELD | OX94 | 01 |
| Street Address |
1114 DIDINATO DR CHESTER REGIONAL MEDICAL CENTER |
| City | CHESTER |
| State | MD |
| Zip Code | 21619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407359532 | Queen Anne's Medical Center, LLC | Internal Medicine | 2108 Rear Didonato Drive, Chester, MD 21619 | 2018-03-15 |
| 1700326410 | Erika Waynik | Nurse Practitioner | 115 South Piney Road, Minuteclinic, Chester, MD 21619 | 2017-02-28 |
| 1780923425 | Sabitri Baker | Specialist | 210 Country Day Rd, Chester, MD 21619 | 2013-01-31 |
| 1487986287 | Richard Davis Brown | Family Medicine | 128 Kirwans Landing Ln, Chester, MD 21619 | 2010-02-03 |
| 1225299837 | Kent Island Chiropractic and Rehabilitation | Clinic/Center | 1812 Main St., Suite C, Chester, MD 21619 | 2008-06-17 |
| 1407048283 | Brian Johnson Olmstead | Dentist | 1547 Rainbow Plaza, Chester, MD 21619 | 2007-08-15 |
| 1972721165 | John A Benkovich IIi | Dentist | 800 Abruzzi Drive Unit F, Chester, MD 21619 | 2007-04-23 |
| 1457400798 | James Charles Pochron | Dentist | 116 South Piney Rd #202, Chester, MD 21619 | 2007-01-09 |
| 1578628608 | Kent Drug Inc | Pharmacy | 1723 Main St, Chester, MD 21619 | 2006-12-27 |
| 1235101981 | Rozalyn Kay Moore | Physical Therapist | 1630 Main St Ste 110, Chester, MD 21619 | 2006-02-06 |
| Find all providers in zip 21619 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252528 | Kia Simpkins | Counselor | 11923 Centre St Ste A, Chester, VA 23831-1702 | 2020-07-13 |
| 1669099941 | New Perspectives Counseling, LLC | Counselor | 1 Mill Ridge Ln Ste 205, Chester, NJ 07930-2490 | 2020-07-02 |
| 1104388412 | Reflective Outpatient Therapy LLC | Counselor | 3500 Rossington Blvd, Chester, VA 23831-7157 | 2019-04-04 |
| 1033680533 | Ana C Patino | Counselor | 503 Knollcrest Ln, Chester, NY 10918-1582 | 2018-12-09 |
| 1336625557 | Anthony Hines | Counselor | 4006 Lazy Stream Ct, Chester, VA 23831-6933 | 2018-07-11 |
| 1366943896 | Ann Sodat Hanford | Counselor | 4800 W Hundred Rd, Chester, VA 23831-1746 | 2018-02-21 |
| 1013450741 | Shameka L Clark-savage | Counselor | 3931 Hamlin Creek Ct, Chester, VA 23831-1486 | 2016-11-29 |
| 1538559448 | Joan Dubose | Counselor | 622 Dubose Dr, Chester, SC 29706-8400 | 2015-01-30 |
| 1710243738 | Regina Marie Walsh | Counselor | 15 North Main Street, Chester, CT 06412-0641 | 2012-04-03 |
| 1871740639 | Tamara Fanae'-nicholson Ferebee | Counselor | 10800 Tuscola Dr, Chester, VA 23831-1306 | 2008-08-24 |
| Find all providers in CHESTER | ||||
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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.