SONIA JACKSON (NPI# 1760879993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760879993 |
| Entity Type | Individual |
| Full Name | SONIA JACKSON |
| Practice Address |
490 Dunlop Ln Bldg 2 Clarksville TN 37040-5007 |
| Mailing Address |
Po Box 3799 Clarksville TN 37043-3799 |
| Practice Telephone | 9312458100 |
| Mailing Telephone | 9312457000 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 60534 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437416252 | Sonia Jackson | Case Manager/Care Coordinator | 115 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2012-04-18 |
| Street Address |
490 DUNLOP LN BLDG 2 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477025328 | Devona Stone | Family Medicine | 490 Dunlop Ln Bldg 2, Clarksville, TN 37040-5007 | 2018-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629548565 | Betty Ann Meriwether | Obstetrics & Gynecology | 408 Wingate Dr, Clarksville, TN 37043-6009 | 2018-12-04 |
| 1982995544 | Quiniece M Hurdle | Obstetrics & Gynecology | 1100 E Poplar St Ste A, Clarksville, AR 72830-4401 | 2011-04-29 |
| 1073835021 | Arif Mahood | Obstetrics & Gynecology | 104 Iris Court, Clarksville, TN 37042 | 2010-02-18 |
| 1073547212 | Gary L Larkins | Obstetrics & Gynecology | 1824 Memorial Dr, Clarksville, TN 37043 | 2006-07-11 |
| 1972559219 | Jorge Casanova Riestra | Obstetrics & Gynecology | 105 Ussery Rd, Clarksville, TN 37043-4530 | 2006-05-26 |
| 1477527448 | Francoise Abrams | Obstetrics & Gynecology | 5073 Ten Oaks Rd, Clarksville, MD 21029-1015 | 2006-02-15 |
| 1326021676 | Barbara Joanne Phillips-seitz | Obstetrics & Gynecology | 5005 Signal Bell Lane, Ste 102, Clarksville, MD 21029-2606 | 2005-11-21 |
| 1205827920 | William D Mcintosh | Obstetrics & Gynecology | 2292 Dalton Dr, Suite C, Clarksville, TN 37043 | 2005-11-02 |
| 1285639054 | Robert R. Bendt | Obstetrics & Gynecology | 105 Ussery Road, Clarksville, TN 37043-4530 | 2005-06-16 |
| 1891332110 | Erin Marie Williams | Obstetrics & Gynecology | 1824 Memorial Dr, Clarksville, TN 37043-4605 | 2019-12-05 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.