ANGELETTE JACKSON (NPI# 1760862684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760862684 |
| Entity Type | Individual |
| Full Name | ANGELETTE JACKSON |
| Credential | NP |
| Practice Address |
1901 Huguenot Rd Suite 309 North Chesterfield VA 23235-4311 |
| Mailing Address |
Po Box 693 Midlothian VA 23113-0693 |
| Practice Telephone | 8049554864 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 0024172629 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024172629 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
0024172629 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1901 HUGUENOT RD SUITE 309 |
| City | NORTH CHESTERFIELD |
| State | VA |
| Zip Code | 23235-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053304311 | Guita Ghadiri | Internal Medicine | 1901 Huguenot Rd, Suite 309, North Chesterfield, VA 23235-4311 | 2005-08-23 |
| 1437669058 | Empowerment Wellness Services, LLC | Counselor | 1901 Huguenot Rd, North Chesterfield, VA 23235-4311 | 2017-10-10 |
| 1093256117 | Scott W. Mates, LLC | Social Worker | 1901 Huguenot Rd, Suite 310, North Chesterfield, VA 23235-4311 | 2017-03-09 |
| 1629518121 | Jkt Trauma Consultation Counseling and Training Services | Community/Behavioral Health | 1901 Huguenot Rd, Ste 303, North Chesterfield, VA 23235-4311 | 2017-03-02 |
| 1184009714 | Tangela Hardy | Nurse Practitioner | 1901 Huguenot Rd, Suite 309, North Chesterfield, VA 23235-4311 | 2015-07-24 |
| 1568800019 | Timothy Lee | Family Medicine | 1901 Huguenot Rd, Suite 309, North Chesterfield, VA 23235-4311 | 2013-06-06 |
| 1568720050 | Dare To Change | Exclusive Provider Organization | 1901 Huguenot Rd, Suite 101, North Chesterfield, VA 23235-4311 | 2012-05-02 |
| 1255510111 | Tanyka Richelle Gilbert | Social Worker | 1901 Huguenot Rd, Suite 103, North Chesterfield, VA 23235-4311 | 2007-10-29 |
| 1689775009 | Elizabeth Delores Dungee-anderson | Social Worker | 1901 Huguenot Rd, Suite 303, North Chesterfield, VA 23235-4311 | 2006-09-26 |
| 1982640330 | Gahan Christopher Kelley | Social Worker | 1901 Huguenot Rd, Suite 104, North Chesterfield, VA 23235-4311 | 2006-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1730729096 | Mary Tabitha Varney | Counselor | 101 Buford Rd. Unit 110, North Chesterfield, VA 23235 | 2020-01-14 |
| 1093355133 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2015 Huguenot Road, North Chesterfield, VA 23235 | 2020-01-07 |
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1114489317 | Therapeutic Learning Consortium LLC | Counselor | 8154 Forest Hill Ave Ste 2, North Chesterfield, VA 23235 | 2019-04-05 |
| 1013400332 | Shawmika Wright | Social Worker | 1301 Whitehead Road, Richmond, VA 23235 | 2018-06-11 |
| 1912490608 | Cara Whiting | Physical Therapist | 1400 Johnston Willis Dr Ste B, North Chesterfield, VA 23235 | 2018-06-07 |
| 1003324682 | David E Fortin | Hearing Instrument Specialist | 10441 Midlothian Turnpike, Richmond, VA 23235 | 2018-01-17 |
| 1053836544 | Hannah Katherine Chisholm | Physical Therapist | 1400 Johnston-willis Drive, Richmond, VA 23235 | 2017-08-07 |
| Find all providers in zip 23235 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669003802 | Nacobi Yvonne Lewis | Nurse Practitioner | 1936 Forestdale Dr, North Chesterfield, VA 23235-5651 | 2020-01-27 |
| 1285110726 | Courtney Grizzard Kendall | Nurse Practitioner | 201 Wadsworth Dr, North Chesterfield, VA 23236-4510 | 2018-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706597 | Martha Luz Alejandro-bird | Nurse Practitioner | 120 Kings Way Ste &3300, Williamsburg, VA 23185-2505 | 2020-09-28 |
| 1285240648 | Stephanie Williams Hatch | Nurse Practitioner | 304 Homestead Rd, Franklin, VA 23851-1345 | 2020-09-21 |
| 1346852639 | Britteny Nicole Stone-joel | Nurse Practitioner | 614 Rolfe Street, Hampton, VA 23661 | 2020-08-19 |
| 1093324469 | Grace A Odallo | Nurse Practitioner | 3441 Raytee Dr, Chesapeake, VA 23323-1230 | 2020-07-30 |
| 1558989186 | Olivia Brooke Wright | Nurse Practitioner | 2451 Midtown Ave Apt 1317, Alexandria, VA 22303-1437 | 2020-07-09 |
| 1467070342 | Amanda K Whitley | Nurse Practitioner | 401 Gordon Ave, Bristol, VA 24201-4106 | 2020-07-08 |
| 1194341792 | Tina Fulcher | Nurse Practitioner | 13300 Burley Ridge Ln, Chester, VA 23831-7119 | 2020-06-19 |
| 1366067373 | Luke Balmer | Nurse Practitioner | 3402 Upper Tillman Way, Powhatan, VA 23139-4349 | 2020-06-15 |
| 1174158539 | Monica Kristine Thompson | Nurse Practitioner | 6340 Miller Dr, Alexandria, VA 22315-3512 | 2020-03-05 |
| 1326670100 | Kristyn Dolores Fox | Nurse Practitioner | 830 Kempsville Rd Ste 2b223, Norfolk, VA 23502-3920 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHESTERFIELD |
| Zip Code | 23235 |
Please comment or provide details below to improve the information on ANGELETTE 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.