EVAE JACKSON


Address: 7 Willow Tree Garth Apt D, Cockeysville, MD 21030-5276
Phone: 7329006493

EVAE JACKSON (NPI# 1801494034) 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) 1801494034
Entity Type Individual
Full Name EVAE JACKSON
Credential LPN
Practice Address 7 Willow Tree Garth Apt D
Cockeysville
MD 21030-5276
Practice Telephone 7329006493
Mailing Telephone 7329006493
Enumeration Date 2020-10-09
Last Update Date 2020-10-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 338537 NY Nursing Service Providers

Office Location

Street Address 7 WILLOW TREE GARTH APT D
City COCKEYSVILLE
State MD
Zip Code 21030-5276

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1558705913 Cortney J Johnstone Occupational Therapist 102 Lakefront Drive, Hunt Valley, MD 21030 2013-04-29
1104189257 Hilary T Harrington Counselor 11311 Mccormick Road, 350, Hunt Valley, MD 21030 2012-06-22
1164715413 Nichole Lea Edmond Speech-Language Pathologist 1508 Heather Hill Lane, Cockeysville, MD 21030 2011-05-19
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750981809 Winifred Ayodeji Wells Licensed Practical Nurse 2602 Box Tree Dr, Upper Marlboro, MD 20774-9305 2020-10-28
1548877517 Nkiru Amy Echefu Licensed Practical Nurse 13027 Boykin Pl, Upper Marlboro, MD 20774-5640 2020-09-24
1548870785 Kadiatu Sesay Licensed Practical Nurse 209 Castleton Ter, Upper Marlboro, MD 20774-1447 2020-08-03
1841818606 Marie Y Joseph Licensed Practical Nurse 13011 Broadmore Rd, Silver Spring, MD 20904-3116 2020-07-08
1720604721 Margaret Jackson Licensed Practical Nurse 2 Farmington Ct, Apt J, Parkville, MD 21234 2020-06-25
1043836885 Jennifer Hubbard Licensed Practical Nurse 9014 Meadow Heights Rd, Randallstown, MD 21133-3628 2020-06-17
1154944734 Francis Kala Kentsa Licensed Practical Nurse 3213 Toledo Pl Apt T2, Hyattsville, MD 20782-4198 2020-05-18
1073135455 Sherlyn Sandy Licensed Practical Nurse 4621 Arabia Ave, Baltimore, MD 21214-3234 2020-05-08
1962021337 Jeneba Georgiana Lansana Licensed Practical Nurse 3210 Reed St, Glenarden, MD 20706-1552 2020-04-15
1588203962 Shaluwa Halabi Licensed Practical Nurse 13015 Conductor Way, Silver Spring, MD 20904-6818 2020-01-02
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Competitor

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City COCKEYSVILLE
Zip Code 21030

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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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