MRS. JACKIE JEAN JENNINGS (NPI# 1790796712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790796712 |
| Entity Type | Individual |
| Full Name | MRS. JACKIE JEAN JENNINGS |
| Credential | RPSGT |
| Practice Address |
183 Griffin Shoals Rd Dadeville AL 36853-3106 |
| Practice Telephone | 2568259424 |
| Practice Fax Number | 2568252078 |
| Mailing Telephone | 2568259424 |
| Mailing Fax Number | 2568252078 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | 729 | AL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
183 GRIFFIN SHOALS RD |
| City | DADEVILLE |
| State | AL |
| Zip Code | 36853-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528378197 | Ivy Creek Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 201 Mariarden Road, Dadeville, AL 36853 | 2010-10-18 |
| 1912125535 | Casey Turner | Pharmacist | 459 North Broadnax Street, Dadeville, AL 36853 | 2007-04-20 |
| 1053467100 | Anthony Leon Nix | Pharmacist | 221 E South Street, Dadeville, AL 36853 | 2007-01-25 |
| 1407879083 | Karen J Mockler | Family Medicine | 1034 South Tallassee Street, Dadeville, AL 36853 | 2006-07-25 |
| 1902947336 | Frank Langley Pearson | Pharmacist | 221 E South Street, Dadeville, AL 36853 | 2007-02-09 |
| 1194871251 | Pamela Bass Gam | Pharmacist | 221 E South Street, Dadeville, AL 36853 | 2007-01-25 |
| 1942266408 | Sridhar Krishnamurti | Audiologist | 301 Mariarden Rd, Lake Martin Community Hospital, Dadeville, AL 36853 | 2006-04-25 |
| 1124298351 | State of Alabama | Public Health or Welfare | 535 N Broadnax St, Dadeville, AL 36853-0100 | 2008-03-04 |
| 1164538203 | Robert William Bartel | General Practice | 301 Mariarden Rd, Dadeville, AL 36853-0129 | 2006-08-22 |
| 1790717858 | John Raymond Durant | General Practice | 301 Mariarden Rd, Ste D, Dadeville, AL 36853-0129 | 2006-07-07 |
| Find all providers in zip 36853 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215493861 | Chelmense Swain | Technician, Other | 1355 Commerce Dr Apt 1006, Auburn, AL 36830-2851 | 2019-02-19 |
| 1659801074 | Restored LLC | Technician, Other | 3118 Belwood Dr Ste 102, Vestavia, AL 35243-5264 | 2017-06-18 |
| 1609316835 | Lice Clinics of America - Gulf Coast | Technician, Other | 9078 Merritt Ln, Suite D, Daphne, AL 36526-5614 | 2017-03-07 |
| 1568826246 | David Virgil II | Technician, Other | 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 | 2016-04-08 |
| 1750775011 | Charles Ray Lemans Collins | Technician, Other | 1247 Rucker Blvd Ste 3, Enterprise, AL 36330-3630 | 2015-03-25 |
| 1609267137 | Ezequiel Carrillo | Technician, Other | Buidling 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2015-02-05 |
| 1184029597 | Certified Technical Experts | Technician, Other | 2501 Bell Rd, Montgomery, AL 36117-4371 | 2014-10-28 |
| 1972939874 | Frederica Crutcher | Technician, Other | 198 Ford Circle, Huntsville, AL 35811 | 2013-09-24 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| 1679741359 | Barbara H Paulman | Technician, Other | 844 Sunrise Rd, Jasper, AL 35504-8335 | 2008-02-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. JACKIE JEAN JENNINGS.
| 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.