ANGELA ALLEN JACKSON (NPI# 1841505567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841505567 |
| Entity Type | Individual |
| Full Name | ANGELA ALLEN JACKSON |
| Credential | NP-C |
| Practice Address |
1010 Lakeland Pl Flowood MS 39232-6678 |
| Mailing Address |
2500 N State Street Ummc-department of Dermatology Jackson MS 39216-4500 |
| Practice Telephone | 6018150600 |
| Mailing Telephone | 6018153374 |
| Mailing Fax Number | 6018150983 |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2017-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R873582 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05728527 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796143 | Angela M Jackson | Massage Therapist | 8795 Ralston Rd Ste 202d, Arvada, CO 80002-2357 | 2020-10-08 |
| 1104431790 | Angela P Jackson | Technician | 5528 Meadow Passage Dr, Canal Winchester, OH 43110-8397 | 2020-09-10 |
| 1316446453 | Angela Evonne Jackson | Massage Therapist | 12336 Shady Spring Way, Orlando, FL 32828-9172 | 2018-02-05 |
| 1972029858 | Angela Jackson | Adult Companion | 2469 E Dublin Granville Rd #298155, Columbus, OH 43229 | 2017-08-22 |
| 1194267476 | Angela Decarla Jackson | Counselor | 900 S Clark St Apt 2213, Chicago, IL 60605-3708 | 2016-11-17 |
| 1013468248 | Angela Jackson | Specialist | 110 E St, Pittsfield, ME 04967-5106 | 2016-10-24 |
| 1609231000 | Angela Jackson | Specialist | 1110 N 47th St, Kansas City, KS 66102-1702 | 2015-12-29 |
| 1215329032 | Angela Yvette Jackson | Psychologist | 185 N Pearl Lake Cswy, #106, Altamonte Springs, FL 32714-2956 | 2015-03-03 |
| 1043636343 | Angela Jackson | Licensed Practical Nurse | 13 Slate Creek Dr Apt 5, Cheektowaga, NY 14227-2947 | 2014-03-11 |
| 1659619328 | Angela Wendy Jackson | Registered Nurse | 8299 Cambridge St, 1602, Houston, TX 77054-3170 | 2013-01-30 |
| Street Address |
1010 LAKELAND PL |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-6678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437702693 | Melissa Stevens | Nurse Practitioner | 1010 Lakeland Pl, Flowood, MS 39232-6678 | 2019-07-17 |
| 1417397837 | Julia Ashley Thompson | Internal Medicine | 1010 Lakeland Pl, Flowood, MS 39232-6678 | 2013-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357616 | Sara Marie Klaus | Nurse Practitioner | 2550 Flowood Dr Ste 100, Flowood, MS 39232-9304 | 2020-02-12 |
| 1134523830 | Rachael Wilbanks | Nurse Practitioner | 1006 Treetops Blvd Ste 102, Flowood, MS 39232-7645 | 2014-10-09 |
| 1548675168 | Altegra Health Connections, LLC | Nurse Practitioner | 645 Lakeland East Dr, Suite 101, Flowood, MS 39232-9099 | 2014-06-23 |
| 1881635225 | Lance Klein | Nurse Practitioner | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2006-06-09 |
| 1497372015 | Ashley Sloan | Nurse Practitioner | 1710 Old Fannin Rd, Flowood, MS 39232-9004 | 2020-06-30 |
| 1083188387 | Callie Brown Hall | Nurse Practitioner | 2610 Courthouse Cir, Flowood, MS 39232-9562 | 2019-01-20 |
| 1952874851 | Rose Maria Morris | Nurse Practitioner | 4800 Lakeland Dr, Flowood, MS 39232-8694 | 2019-01-03 |
| 1013498435 | Catherine Elizabeth Clingan | Nurse Practitioner | 2610 Courthouse Cir, Flowood, MS 39232-9562 | 2018-08-23 |
| 1982122552 | Sheena Renell Smith Smoot | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2017-09-05 |
| 1972048304 | Jennifer W Pate | Nurse Practitioner | 2506 Lakeland Dr Ste 300, Flowood, MS 39232-7640 | 2016-12-20 |
| Find all providers in FLOWOOD | ||||
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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.