MISS DEBORAH JACKSON (NPI# 1770816076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770816076 |
| Entity Type | Individual |
| Full Name | MISS DEBORAH JACKSON |
| Credential | A.P.N. |
| Practice Address |
2710 College Ave Conway AR 72034-6141 |
| Practice Telephone | 5013291800 |
| Mailing Telephone | 5013291800 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2015-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A01545 ANP | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891249777 | Deborah Dobey Jackson | Licensed Practical Nurse | 4095 Country Club Rd, Spartanburg, SC 29302-4458 | 2016-08-09 |
| 1144680018 | Deborah Jackson | Counselor | 17 Hamilton Avenue, Monticello, NY 12701 | 2016-03-04 |
| 1780080929 | Deborah Jackson | Occupational Therapy Assistant | 280 Pine Forest Dr, Lawrenceville, GA 30046-6032 | 2014-11-17 |
| 1336107408 | Deborah A Jackson | Physical Therapist | 319 W Town Pl, Suite 5, St Augustine, FL 32092-3101 | 2006-05-01 |
| 1730738469 | Deborah L Jackson | Technician | 1510 Fort Davis Pl Se, Washington, DC 20020-6028 | 2019-09-05 |
| 1174051114 | Deborah Jackson | Registered Nurse | 405 Avenue of The States, Chester, PA 19013-4403 | 2017-06-02 |
| 1073057279 | Deborah Jackson | Nurse Practitioner | 2900 E University Dr Ste 110, Auburn, AL 36830-7729 | 2016-12-07 |
| 1740737485 | Deborah Jackson | Community Health Worker | 1010 Common St Ste 500, New Orleans, LA 70112-2467 | 2016-09-09 |
| 1316399090 | Deborah Jackson | Counselor | 2212 Devine St Ste D, Columbia, SC 29205-2402 | 2016-07-06 |
| 1801254461 | Deborah Jackson | Community Based Residential Treatment Facility, Mental Illness | 1100 W 6th Ave, Gary, IN 46402 | 2016-02-10 |
| Street Address |
2710 COLLEGE AVE |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902803893 | Steven D Mcnabb | Pediatrics | 2710 College Ave, Conway, AR 72034-6141 | 2005-07-07 |
| 1942811047 | Bonnie Anderson | Nurse Practitioner | 2710 College Ave, Conway, AR 72034-6141 | 2020-08-12 |
| 1871030551 | Alexis Cooper | Nurse Practitioner | 2710 College Ave, Conway, AR 72034-6141 | 2017-01-19 |
| 1578898748 | Betsy Anna Efird | Nurse Practitioner | 2710 College Ave, Conway, AR 72034-6141 | 2009-10-06 |
| 1366775553 | Karen Louise Martin | Nurse Practitioner | 2710 College Ave, Conway, AR 72034-6141 | 2009-09-07 |
| 1891758074 | Karen F Baker | Pediatrics | 2710 College Ave, Conway, AR 72034-6141 | 2006-04-10 |
| 1477516417 | Arkansas Pediatrics of Conway, Pa | Pediatrics | 2710 College Ave, Conway, AR 72034-6141 | 2006-04-10 |
| 1639131261 | Reginald Alan Lucas | Pediatrics | 2710 College Ave, Conway, AR 72034-6141 | 2006-04-06 |
| 1063475630 | Philip H Hopp | Pediatrics | 2710 College Ave, Conway, AR 72034-6141 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617594 | Mckenzie Lauren Cotton | Nurse Practitioner | 1065 Skyline Dr, Conway, AR 72032-3530 | 2020-10-25 |
| 1316566607 | Shannon Busby | Nurse Practitioner | 1505 Winterbrook Dr, Conway, AR 72034-3564 | 2020-04-16 |
| 1538798087 | Glenda Darlene Gore | Nurse Practitioner | 17 Kali Ct, Conway, AR 72032-9477 | 2020-04-06 |
| 1265071427 | Dana Aysha Niederhauser | Nurse Practitioner | 1250 Littlewood Cv, Conway, AR 72032-8986 | 2020-01-04 |
| 1285287680 | Joy Griffith | Nurse Practitioner | 2907 Percy Cir, Conway, AR 72034-5508 | 2019-07-24 |
| 1366094260 | Kerry Kathryn Lewis | Nurse Practitioner | 1910 Royal Dr, Conway, AR 72034-7346 | 2019-07-10 |
| 1487113148 | Laura B Kelly | Nurse Practitioner | 2300 Linda Dr, Conway, AR 72032-8999 | 2019-03-12 |
| 1780141069 | Ashleigh Lynn Kinon | Nurse Practitioner | 2065 Woodlawn Dr, Conway, SC 29526-7703 | 2019-02-22 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| Find all providers in CONWAY | ||||
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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.