CANDICE RENEE JACKSON (NPI# 1811298185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811298185 |
| Entity Type | Individual |
| Full Name | CANDICE RENEE JACKSON |
| Practice Address |
2 Tuckahoe Ct 308 Fairfield OH 45014-4321 |
| Practice Telephone | 5134773793 |
| Mailing Telephone | 5134773793 |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN 133146 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955924 | Candice S Jackson | Marriage & Family Therapist | 300 Se 1st Ave, Ocala, FL 34471-2169 | 2019-07-29 |
| 1891244851 | Candice Jackson | Assistant Behavior Analyst | 1222 Powell St, B, Norristown, PA 19401-3345 | 2016-09-30 |
| 1215358254 | Candice Epps Jackson | Counselor | 1104 S Main St Ste A, Lexington, NC 27292-3134 | 2013-12-18 |
| 1346490042 | Candice Jackson | Counselor | 11614 Vail Dr, Oklahoma City, OK 73162-1644 | 2008-09-30 |
| 1346705720 | Candice Latrice Jackson | Registered Nurse | 8325 E Southport Rd Ste 100, Indianapolis, IN 46259 | 2019-02-10 |
| 1720368616 | Candice Elizabeth Jackson | Occupational Therapy Assistant | 216 Union Church Rd, Carthage, NC 28327-7644 | 2011-08-23 |
| 1174778393 | Candice Jackson | Registered Nurse | 1235 Blue Leaf Dr, Richmond, TX 77469-6255 | 2008-12-02 |
| 1336319078 | Candice M Jackson | Social Worker | 627 W 4th St, Lexington, KY 40508-1207 | 2008-03-10 |
| Street Address |
2 TUCKAHOE CT 308 |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816014 | Katie Randall | Licensed Practical Nurse | 115 Pr 1295, Fairfield, TX 75840 | 2020-06-23 |
| 1124653910 | Amanda Lee Rader | Licensed Practical Nurse | 4150 Lark St, Fairfield, OH 45014-5780 | 2020-03-11 |
| 1124689724 | Akua Obiri | Licensed Practical Nurse | 3700 Mack Rd Apt 9, Fairfield, OH 45014-6647 | 2019-06-25 |
| 1912470915 | Arabel Ambang Ajame | Licensed Practical Nurse | 4412 Whitmore Ln, Fairfield, OH 45014-8554 | 2019-01-02 |
| 1407326267 | Karen Webster | Licensed Practical Nurse | 490 Creekside Dr Apt 207, Fairfield, OH 45014-2534 | 2018-12-04 |
| 1467938704 | Josephine Ragin | Licensed Practical Nurse | 1134 Senate Dr, Fairfield, OH 45014-2956 | 2018-07-18 |
| 1598268393 | Carrie Engel | Licensed Practical Nurse | 5318 Burgundy Pl, Fairfield, OH 45014-3206 | 2018-03-18 |
| 1356881338 | Brenda Nana Ama Yeboah | Licensed Practical Nurse | 5808 Red Oak Dr, Fairfield, OH 45014-3577 | 2017-02-24 |
| 1326597766 | Alicia Michels | Licensed Practical Nurse | 6134 Shearwater Dr, Fairfield, OH 45014-4922 | 2016-09-27 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| Find all providers in FAIRFIELD | ||||
Please comment or provide details below to improve the information on CANDICE RENEE 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.