JOHN ARCHIE JACKSON JR.


Address: 209 Martin Luther King Dr, Elizabethtown, NC 28337
Phone: 9102476822

JOHN ARCHIE JACKSON JR. (NPI# 1801439799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801439799
Entity Type Individual
Full Name JOHN ARCHIE JACKSON JR.
Practice Address 209 Martin Luther King Dr
Elizabethtown
NC 28337
Mailing Address 12500 Ormsby Dr
Laurinburg
NC 28352-7770
Practice Telephone 9102476822
Practice Fax Number 9102476829
Mailing Telephone 9103184008
Mailing Fax Number 9102476829
Enumeration Date 2019-10-23
Last Update Date 2019-10-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
1917 NC Behavioral Health & Social Service Providers

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Office Location

Street Address 209 MARTIN LUTHER KING DR
City ELIZABETHTOWN
State NC
Zip Code 28337

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649826447 Donna Marie Gray Technician 1797 Mercer Mill Rd, Elizabethtown, NC 28337 2019-08-16
1053972877 Professional Eye Care Optometry, Pa Optometrist 432 W Broad St, Elizabethtown, NC 28337 2019-06-24
1255896015 Andersons Drug Store LLC Durable Medical Equipment & Medical Supplies 206 S. Poplar St., Elizabethtown, NC 28337 2019-02-06
1336618602 Genese Anderson Peed Pharmacist 206 South Poplar, Elizabethtown, NC 28337 2018-11-16
1528559671 Bladen Healthcare LLC Clinic/Center 273 White Lake Dr, White Lake, NC 28337 2018-05-24
1821586918 Coastal Horizons Center Inc. Community/Behavioral Health Coastal Horizons Center, Inc. - Bladen Day Treatment, 1496 Hwy 701 S., Elizabethtown, NC 28337 2018-04-25
1205353117 Brianna Stalnaker Pharmacist 371 S Poplar St, Elizabethtown, NC 28337 2017-08-23
1982124681 Justin M Degarmo Dmd & Ann Hamill Greene Dds Pa Dentist 401 Doctors Drive, Elizabethtown, NC 28337 2017-06-23
1336676121 Megan Mcwhorter Physical Therapy Assistant 804 South Poplar Street, Elizabethtown, NC 28337 2017-05-11
1477084614 Crystal Baxley Moore Specialist 105 East Broad St, Elizabethtown, NC 28337 2017-03-21
Find all providers in zip 28337

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851998181 Specialistsmat Psc Counselor 110 Chase Way Ste 2, Elizabethtown, KY 42701-7827 2020-10-09
1710511456 Rosenwald Life Center Counselor 612 E Dixie Ave, Elizabethtown, KY 42701-1077 2020-03-02
1740823228 Tara L Govan Counselor 209 Martin Luther King Jr. Dr., Elizabethtown, NC 28337-2833 2019-10-28
1396397014 Sara Elizabeth Zsigray Counselor 2645 Leitchfield Rd, Elizabethtown, KY 42701-8306 2019-07-12
1891284311 Moriah J Bradley Counselor 1311 N Dixie Ave Bldg A, Elizabethtown, KY 42701-2621 2018-05-10
1669843710 Theresa Waddell Counselor 725 New Glendale Rd, Elizabethtown, KY 42701-8373 2015-10-15
1215341821 Kelly Devers I Counselor 615 Westport Rd, Elizabethtown, KY 42701-2874 2014-06-12
1093959223 Jenafier Ae Carroll Counselor 312 N Mulberry St Ste 1, Elizabethtown, KY 42701-1837 2009-05-01
1255497178 Brenda Gale Luther Counselor 200 Sycamore St, Suite 134, Elizabethtown, KY 42701-2469 2006-12-28
1588727838 Naaman Center Counselor 4600 E Harrisburg Pike, Elizabethtown, PA 17022-9004 2006-12-18
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Competitor

Search similar providers

City ELIZABETHTOWN
Zip Code 28337

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Dataset Information

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.

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