DR. KATHLEEN MARIE JACKSON (NPI# 1801323993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801323993 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN MARIE JACKSON |
| Credential | MD |
| Practice Address |
2100 Stantonsburg Rd Greenville NC 27834-2818 |
| Practice Telephone | (252) 847-4268 |
| Mailing Telephone | 2528474268 |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2017-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| 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 |
|---|---|---|---|---|
| 1427699685 | Kathleen Jackson | Technician | 3788 Jackson Community Rd, Vernon, FL 32462-3440 | 2019-09-30 |
| 1508015421 | Kathleen Jackson | Licensed Practical Nurse | 188 Lovering Ave, Buffalo, NY 14216-1814 | 2008-09-16 |
| 1629264759 | Kathleen Lux Jackson | Registered Nurse | 2894 Komaia Pl, Honolulu, HI 96822-1745 | 2007-09-21 |
| 1508964347 | Kathleen Jackson | Registered Nurse | 7702 W Thurston Ave, Milwaukee, WI 53218 | 2006-09-20 |
| 1073619037 | Kathleen J. Jackson | Nurse Practitioner | 1001 F Lincoln Drive, West, Cooper Familyl Medicine PC, Marlton, NJ 08053-1915 | 2006-09-16 |
| 1548236029 | Kathleen Anne Jackson | Internal Medicine | 147 S 52nd Pl, Springfield, OR 97478-6210 | 2006-02-24 |
| 1538720305 | Kathleen Celeste Jackson | Pharmacist | 181 Taylor Ave, Columbus, OH 43203-1779 | 2019-06-24 |
| 1356893689 | Kathleen Anne Jackson | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2016-11-03 |
| 1720496326 | Kathleen Grace Jackson | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2014-07-27 |
| 1699108209 | Kathleen Adele Jackson | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2013-08-19 |
| Street Address |
2100 STANTONSBURG RD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802077 | Leanna F. Thorn | Emergency Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2005-06-23 |
| 1891394557 | Schuyler Geaslen Williams | Nurse Practitioner | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-10-22 |
| 1477169084 | Denise Harper | Clinical Nurse Specialist | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-09-18 |
| 1548874068 | Ileen Craven | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-09-02 |
| 1790397990 | Randi Elizabeth Caruso | Nurse Practitioner | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-19 |
| 1184236333 | Emily Merritt | Pharmacist | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-19 |
| 1467063107 | Smit Rajput | Internal Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-15 |
| 1558971044 | Kyle Travlos | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-09 |
| 1114537693 | Ryan Austin Wagner | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-09 |
| 1790395283 | Clayton Adams | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| 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 |
|---|---|---|---|---|
| 1275141327 | Anne M. Stollberg | Student in an Organized Health Care Education/Training Program | 3 Pheasant Ct, Greenville, SC 29607-5441 | 2020-07-15 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1245856723 | Brittany Nicole Simpson | Student in an Organized Health Care Education/Training Program | 100 Chandler Dr Apt E, Greenville, NC 27834-6034 | 2020-06-22 |
| 1972129484 | Morgan Cox | Student in an Organized Health Care Education/Training Program | 901 Treybrooke Cir Apt 14, Greenville, NC 27834-7879 | 2020-06-20 |
| 1588289995 | Ashley Belle Stein | Student in an Organized Health Care Education/Training Program | 202 N Harding St, Greenville, NC 27858-1326 | 2020-06-11 |
| 1366066177 | Brittany Janofski | Student in an Organized Health Care Education/Training Program | 306 Treybrooke Cir Apt 33, Greenville, NC 27834-5961 | 2020-06-08 |
| 1669096293 | Victoria Chapman Woodward | Student in an Organized Health Care Education/Training Program | 201 Millbrook St, Greenville, NC 27834-5647 | 2020-05-29 |
| 1033732037 | Erin Gold | Student in an Organized Health Care Education/Training Program | 1440 Treybrooke Cir, Greenville, NC 27834-9159 | 2020-05-26 |
| 1376166421 | Brittney Cannon | Student in an Organized Health Care Education/Training Program | 2202a Sweet Bay Dr, Greenville, NC 27834-2535 | 2020-05-24 |
| 1275155186 | Israel Miguel Mendez | Student in an Organized Health Care Education/Training Program | 1401 E 10th St Apt 109, Greenville, NC 27858-3115 | 2020-05-13 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on DR. KATHLEEN MARIE JACKSON.
| 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.