MRS. KRISTI MICHELLE JACKSON


Address: 1420 Neal St, Suite 202, Cookeville, TN 38501-4313
Phone: 9315256900

MRS. KRISTI MICHELLE JACKSON (NPI# 1750424347) 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) 1750424347
Entity Type Individual
Full Name MRS. KRISTI MICHELLE JACKSON
Credential MA
Practice Address 1420 Neal St, Suite 202
Cookeville
TN 38501-4313
Mailing Address 1128 Swan Pond Circle Rd
Harriman
TN 37748-5105
Practice Telephone 9315256900
Practice Fax Number 9315256970
Enumeration Date 2007-02-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

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Office Location

Street Address 1420 NEAL ST, SUITE 202
City COOKEVILLE
State TN
Zip Code 38501-4313

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811596711 Results-ast Jv, LLC Physical Therapist 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 2020-10-21
1376167080 Melinda Jane Jetter Registered Nurse 320 North Willow Avenue, Cookeville, TN 38501 2020-05-29
1366950875 Tara Beth Smith Occupational Therapist 315 N Washington Ave Ste 240, Cookeville, TN 38501 2018-01-18
1669990339 Tonya Rachelle Perry Counselor 13 South Jefferson Ave, Cookeville, TN 38501 2017-09-01
1659896207 Dustin Chase Rich Physical Therapist 105 S. Willow Ave, #100, Cookeville, TN 38501 2017-08-04
1487009668 Holly Young Physical Therapist 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 2016-04-26
1194190306 Johnna Sprague Nurse Practitioner 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 2015-12-14
1881099885 Carlos Alberto Podesta Internal Medicine 238 W 4th St Ste 200, Cookeville, TN 38501 2014-11-03
1124445002 Shashank Sarvepalli Internal Medicine 1 Medical Center Blvd Ste D, Cookeville, TN 38501 2014-03-27
1689095762 Kendra Hicks Licensed Practical Nurse 701 County Services Drive, Cookeville, TN 38501 2013-12-17
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841815636 Ravi Ashokkumar Patel Counselor 1819 Summerhaven Ave Apt 1, Cookeville, TN 38501-4919 2020-06-08
1477173045 Vickie Billiesue Stringer Counselor 441 E Broad St Ste I, Cookeville, TN 38501-3390 2020-04-23
1174159354 Jennifer Paige Seymour Counselor 1101 Neal St Ste 101, Cookeville, TN 38501-0917 2020-03-19
1093367518 Sarah Morgan Counselor 320 E Broad St Fl 2, Cookeville, TN 38501-3382 2019-07-15
1669955316 Charaya Chontay Upton Counselor 128 Bilbrey St Apt 1, Cookeville, TN 38506 2018-09-10
1669990339 Tonya Rachelle Perry Counselor 13 South Jefferson Ave, Cookeville, TN 38501 2017-09-01
1851829402 Jason Lee Lewis Counselor 410 E Spring St Ste E, Cookeville, TN 38501-3791 2017-05-26
1184169567 Stephanie Karlosky Counselor 1747 Lee Seminary Rd, Cookeville, TN 38506-6458 2016-12-21
1538611264 Tammy Mccoy Counselor 4900 Rocky Point Rd, Cookeville, TN 38506 2016-10-28
1821473810 Star Cowan Counselor 2125 N Maple Ave, Cookeville, TN 38501-1481 2015-07-20
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Competitor

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City COOKEVILLE
Zip Code 38501

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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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