DR. AMBER JACKSON (NPI# 1770105967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770105967 |
| Entity Type | Individual |
| Full Name | DR. AMBER JACKSON |
| Credential | DO |
| Practice Address |
300 E 6th St Texarkana AR 71854-5207 |
| Mailing Address |
3417 U of A Way Texarkana AR 71854-1419 |
| Practice Telephone | 8707796000 |
| Mailing Telephone | 8707796000 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659918878 | Amber Dawn Jackson | Licensed Vocational Nurse | 117 Sw Taylor St, Burleson, TX 76028-3813 | 2019-12-06 |
| 1558923052 | Amber Hauoli Jackson | Massage Therapist | 5820 W Locksley Loop, Wasilla, AK 99623-0874 | 2019-07-03 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1790224863 | Amber Jackson | Specialist | 24 Ball Ave, Yonkers, NY 10701-5001 | 2017-02-22 |
| 1730429226 | Amber Nicole Jackson | Licensed Practical Nurse | 5963 Highland View Dr, Sylvania, OH 43560 | 2013-02-21 |
| 1295941219 | Amber Nicole Jackson | Licensed Practical Nurse | 1800 Claremore Ave, Pawhuska, OK 74056-1747 | 2007-05-15 |
| 1912944158 | Amber Adney Jackson | Social Worker | 221 N East Ave Ste 203, Fayetteville, AR 72701-5226 | 2006-05-31 |
| 1659970945 | Amber Rose Jackson | Specialist/Technologist | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2020-10-19 |
| 1346859378 | Amber Jackson | Nurse Practitioner | 4327 Barnett Rd, Wichita Falls, TX 76310-2303 | 2020-07-27 |
| 1255966073 | Amber Jackson | Counselor | 100 New Salem Rd Ste 116, Uniontown, PA 15401-8936 | 2020-03-12 |
| Street Address |
300 E 6TH ST |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469211 | Russell Eugene Mayo | Family Medicine | 300 E 6th St, Texarkana, AR 71854-5207 | 2005-07-07 |
| 1952923518 | Jennifer Terry | Student in an Organized Health Care Education/Training Program | 300 E 6th St, Texarkana, AR 71854-5207 | 2020-05-17 |
| 1992327928 | Wiley Kyle Abbott | Student in an Organized Health Care Education/Training Program | 300 E 6th St, Texarkana, AR 71854-5207 | 2020-05-13 |
| 1316569445 | Jeffrey Glen Harris | Student in an Organized Health Care Education/Training Program | 300 E 6th St, Texarkana, AR 71854-5207 | 2020-05-12 |
| 1720618390 | Amanda Smith | Nurse Practitioner | 300 E 6th St, Texarkana, AR 71854-5207 | 2020-01-22 |
| 1912567231 | Karine Sensiba | Student in an Organized Health Care Education/Training Program | 300 E 6th St, Texarkana, AR 71854-5207 | 2019-06-18 |
| 1760041180 | Lori George | Student in an Organized Health Care Education/Training Program | 300 E 6th St, Texarkana, AR 71854-5207 | 2019-06-10 |
| 1508424516 | Niloufar Khanian | Student in an Organized Health Care Education/Training Program | 300 E 6th St, Texarkana, AR 71854-5207 | 2019-06-04 |
| 1043878051 | Hayden Leibrock | Student in an Organized Health Care Education/Training Program | 300 E 6th St, Texarkana, AR 71854-5207 | 2019-06-04 |
| 1932767910 | Jasleen Kaur Singh | Student in an Organized Health Care Education/Training Program | 300 E 6th St, Texarkana, AR 71854-5207 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295348027 | Shalese Ladawne Collins | Student in an Organized Health Care Education/Training Program | 3618 Skyline Blvd, Texarkana, TX 75503-1435 | 2020-08-31 |
| 1518507995 | Sarah Beth Dailey | Student in an Organized Health Care Education/Training Program | 2607 Wood St, Texarkana, TX 75503-4132 | 2020-01-13 |
| 1932233285 | Ragini Ganguly | Student in an Organized Health Care Education/Training Program | 300 East 6th Street, Texarkana, AR 71854 | 2007-03-16 |
| 1447873005 | Sydney Saldino | Student in an Organized Health Care Education/Training Program | 3417 U of A Way, Texarkana, AR 71854-1419 | 2020-05-18 |
| 1952923518 | Jennifer Terry | Student in an Organized Health Care Education/Training Program | 300 E 6th St, Texarkana, AR 71854-5207 | 2020-05-17 |
| 1992327928 | Wiley Kyle Abbott | Student in an Organized Health Care Education/Training Program | 300 E 6th St, Texarkana, AR 71854-5207 | 2020-05-13 |
| 1316569445 | Jeffrey Glen Harris | Student in an Organized Health Care Education/Training Program | 300 E 6th St, Texarkana, AR 71854-5207 | 2020-05-12 |
| 1912567231 | Karine Sensiba | Student in an Organized Health Care Education/Training Program | 300 E 6th St, Texarkana, AR 71854-5207 | 2019-06-18 |
| 1760041180 | Lori George | Student in an Organized Health Care Education/Training Program | 300 E 6th St, Texarkana, AR 71854-5207 | 2019-06-10 |
| 1508424516 | Niloufar Khanian | Student in an Organized Health Care Education/Training Program | 300 E 6th St, Texarkana, AR 71854-5207 | 2019-06-04 |
| Find all providers in TEXARKANA | ||||
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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.