KELLY D JACKSON


Address: 602 W Semands St, Conroe, TX 77301-1867
Phone: 9367565598

KELLY D JACKSON (NPI# 1760961833) 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) 1760961833
Entity Type Individual
Full Name KELLY D JACKSON
Practice Address 602 W Semands St
Conroe
TX 77301-1867
Practice Telephone 9367565598
Mailing Telephone 9367565598
Enumeration Date 2018-08-09
Last Update Date 2018-08-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 164W00000X Licensed Practical Nurse 154385 OH Nursing Service Providers
Y 164X00000X Licensed Vocational Nurse 317819 TX Nursing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
602 W Semands St, Conroe, TX 773011867 9367565598

Other Providers KELLY JACKSON

NPI Name Taxonomy Address Enumeration
1588036263 Kelly Jackson Social Worker 2937 Ne 16th Ter, Gainesville, FL 32609-3234 2015-10-21
1477896876 Kelly A Jackson Occupational Therapist 178 Manila Ave, Staten Island, NY 10306-5608 2013-04-03
1104986793 Kelly A Jackson Chiropractor 190 North Main Street, Natick, MA 01760 2006-12-12
1518982487 Kelly Donald Jackson Dentist 3023 Eastland Blvd Ste 112, Clearwater, FL 33761-4106 2006-07-13
1689273310 Kelly Jackson Behavior Technician 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 2020-10-23
1629544655 Kelly Colleen Jackson Counselor 811 Madison St, Everett, WA 98203-4543 2018-10-17
1619457926 Kelly Jackson Physician Assistant 12300 Mccracken Rd, Garfield Heights, OH 44125-2975 2018-08-16
1841780178 Kelly Amanda Jackson Nurse Practitioner 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 2018-05-11
1033653431 Kelly Jackson Nurse Practitioner 606 W Columbia St, San Augustine, TX 75972-1709 2016-12-05
1497108310 Kelly Jackson Massage Therapist 1325 San Marco Blvd, Suite 102, Jacksonville, FL 32207-8568 2016-07-15

Office Location

Street Address 602 W SEMANDS ST
City CONROE
State TX
Zip Code 77301-1867

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285937987 Advocate Pediatric Home Care LLC Nursing Care 602 W Semands St, Conroe, TX 77301-1867 2010-12-19
1699318154 Kia Barnes Registered Nurse 602 W Semands St, Conroe, TX 77301-1867 2019-10-28
1487296497 Irma M Hacker Registered Nurse 602 W Semands St, Conroe, TX 77301-1867 2019-10-10
1154979052 Leah Marie Moser Speech-Language Pathologist 602 W Semands St, Conroe, TX 77301-1867 2019-09-04
1356995351 Ebony L Jeffery Registered Nurse 602 W Semands St, Conroe, TX 77301-1867 2019-07-29
1831741164 Molly Kuhn Shanks Registered Nurse 602 W Semands St, Conroe, TX 77301-1867 2019-07-16
1306498423 Sabrina Sanchez Registered Nurse 602 W Semands St, Conroe, TX 77301-1867 2019-07-09
1093375362 Amita Israel Registered Nurse 602 W Semands St, Conroe, TX 77301-1867 2019-06-18
1801452172 Grace Trinidad Mccormick Registered Nurse 602 W Semands St, Conroe, TX 77301-1867 2019-05-13
1043875651 Catherine Hope Ruzzi Registered Nurse 602 W Semands St, Conroe, TX 77301-1867 2019-05-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023669116 Lois Talford Technician 907 Bellshire Dr. Apt 101, Conroe, TX 77301 2019-09-20
1033694187 Rgt Dental Care Dentist 402 Simonton St. Suite 100, Conroe, TX 77301 2018-09-25
1942782396 Traci Hines Counselor 1427 Apple Orchard Trail, Conroe, TX 77301 2018-09-02
1124507314 Katie Marie Sandoval Licensed Vocational Nurse 602 W Semans St, Conroe, TX 77301 2018-08-09
1811475841 Ihuoma Chinagorom Enyidede Licensed Vocational Nurse 602 W Semands Street, Conroe, TX 77301 2018-08-01
1336626779 Nancy Mbongeh Ndamukong Registered Nurse 202 West Semands Street, Conroe, TX 77301 2018-07-27
1780172585 Ingeborg Christina Meek Registered Nurse 6020 W. Semands Street, Conroe, TX 77301 2018-04-26
1902342926 Gloria E Kessler Counselor 1101 N Thompson St, Conroe, TX 77301 2017-01-14
1770945412 Standing Oak Homehealthcare LLC Hospice Care, Community Based 926 Fife, Conroe, TX 77301 2016-03-22
1316327117 Ayaba Guiste Dentist 1154, 1002 N Loop 336 W, Conroe, TX 77301 2015-06-05
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Taxonomy Information

Taxonomy Code 164X00000X
Grouping Nursing Service Providers
Classification Licensed Vocational Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902424815 Holly Driscoll Licensed Vocational Nurse 17431 Fm 1314 Rd # 15, Conroe, TX 77302-4855 2020-07-07
1982247847 Melissa Fay Halford Licensed Vocational Nurse 2210 Westview Blvd Apt 122, Conroe, TX 77304-3542 2019-10-23
1053960708 Shanna Gaetjen Licensed Vocational Nurse 1101 Wilson Rd Apt 112, Conroe, TX 77301-1609 2019-09-05
1730644279 Bridgette Kingsberry Licensed Vocational Nurse 366 Fm 1488 Rd Apt 132, Conroe, TX 77384-4184 2019-02-08
1114490414 Gloria Yaneth Orellana Licensed Vocational Nurse 607 Everett St, Conroe, TX 77301-1828 2019-01-09
1841768520 Jesika Miller Licensed Vocational Nurse 1463 Broad Oaks, Conroe, TX 77301-3299 2018-11-11
1447735501 Wendy Nicole Brewer Licensed Vocational Nurse 968 Fife Dr, Conroe, TX 77301-4138 2018-09-25
1073094132 Brandy Donielle Nugent Licensed Vocational Nurse 1207 N Thompson St, Conroe, TX 77301-1956 2018-08-27
1891276333 Waverlie M. Pena Licensed Vocational Nurse 10011 Chimney Swift Ln, Conroe, TX 77385-3839 2018-08-23
1124507314 Katie Marie Sandoval Licensed Vocational Nurse 602 W Semans St, Conroe, TX 77301 2018-08-09
Find all providers in CONROE

Competitor

Search similar providers

City CONROE
Zip Code 77301

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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