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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
602 W Semands St, Conroe, TX 773011867 | 9367565598 |
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 |
Street Address |
602 W SEMANDS ST |
City | CONROE |
State | TX |
Zip Code | 77301-1867 |
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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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 |
Find all providers in zip 77301 |
Taxonomy Code | 164X00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Vocational Nurse |
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. |
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 |
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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.