CHERYL ANNE JACKSON (NPI# 1831165166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831165166 |
| Entity Type | Individual |
| Full Name | CHERYL ANNE JACKSON |
| Credential | NP |
| Practice Address |
401 Shickshinney Lake Road Huntington Mills PA 18622-0046 |
| Mailing Address |
16 Highland Ct Dallas PA 18612-1237 |
| Practice Telephone | 5708643191 |
| Practice Fax Number | 5708642569 |
| Mailing Telephone | 5706742268 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2009-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | VP005790B | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE CBC | 50072326 | 01 |
| PA | 1019794280001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598052060 | Cheryl Jackson | Registered Nurse | 2001 Begole St, Flint, MI 48504-3197 | 2011-07-06 |
| 1013220268 | Cheryl Jackson | Nurse Practitioner | 5002 S Lake Houston Pkwy Ste 7, Houston, TX 77049-2631 | 2010-07-16 |
| 1285811273 | Cheryl Lynn Jackson | Spec/Tech, Cardiovascular | 20039 Oakwood Dr, Mokena, IL 60448-1397 | 2008-01-22 |
| 1548478217 | Cheryl R Jackson | Specialist/Technologist | 5243 Dalewood Dr, Cross Lanes, WV 25313-1748 | 2007-05-18 |
| 1144262288 | Cheryl A Jackson | Internal Medicine | 5901 Market St, Philadelphia, PA 19139-3117 | 2006-06-12 |
| 1467964320 | Cheryl Jackson | Counselor | 1341 N Cashua Dr, Florence, SC 29501-6939 | 2017-11-01 |
| 1851755243 | Cheryl Lynn Jackson | Occupational Therapist | 3057 Lorna Rd Ste 220, Birmingham, AL 35216-4518 | 2016-04-11 |
| 1508233081 | Cheryl Jackson | Community Health Worker | 1125 W 6th St, 103, Los Angeles, CA 90017-1833 | 2015-08-31 |
| 1366787806 | Cheryl Gwendolyn Jackson | Occupational Therapist | 680 S 4th St, Louisville, KY 40202-2407 | 2012-12-11 |
| 1043595622 | Cheryl Ann Jackson | Pharmacist | 1410 N Bluff St, Fulton, MO 65251-2350 | 2011-10-14 |
| Street Address |
401 SHICKSHINNEY LAKE ROAD |
| City | HUNTINGTON MILLS |
| State | PA |
| Zip Code | 18622-0046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881614162 | Huntington Valley Volunteer Fire Co Inc. | Ambulance | 1013 State Route 239, Huntington Mills, PA 18622 | 2006-07-20 |
| 1417992421 | Donald James Stone | Family Medicine | 401 Shickshinny Lake Rd, Huntington Mills, PA 18622 | 2006-06-17 |
| 1174889224 | Alterntives In Counseling, Inc | Counselor | 562 Bonnieville Rd, Huntington Mills, PA 18622-1010 | 2012-04-03 |
| 1538608302 | Help for The Hurting | Counselor | 562 Bonnieville Rd, Huntington Mills, PA 18622-1010 | 2017-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174889224 | Alterntives In Counseling, Inc | Counselor | 562 Bonnieville Rd, Huntington Mills, PA 18622-1010 | 2012-04-03 |
| 1881614162 | Huntington Valley Volunteer Fire Co Inc. | Ambulance | 1013 State Route 239, Huntington Mills, PA 18622 | 2006-07-20 |
| 1417992421 | Donald James Stone | Family Medicine | 401 Shickshinny Lake Rd, Huntington Mills, PA 18622 | 2006-06-17 |
| 1538608302 | Help for The Hurting | Counselor | 562 Bonnieville Rd, Huntington Mills, PA 18622-1010 | 2017-02-14 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
| 1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
| 1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
| 1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
| 1336748425 | Alexis Marie Ivosevic | Physician Assistant | 98 Deer Park Ln, Hawley, PA 18428-8223 | 2020-10-20 |
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1851990170 | Jessica Marie Giordano | Physician Assistant | 201 Penn Valley Ter, Yardley, PA 19067-1028 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON MILLS |
| Zip Code | 18622 |
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| 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.