KELLY AMANDA JACKSON (NPI# 1841780178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841780178 |
| Entity Type | Individual |
| Full Name | KELLY AMANDA JACKSON |
| Credential | APRN |
| Practice Address |
1700 Medical Center Pkwy Murfreesboro TN 37129-2245 |
| Practice Telephone | 6153964100 |
| Mailing Telephone | 6153964100 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APN0000023786 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588036263 | Kelly Jackson | Social Worker | 2937 Ne 16th Ter, Gainesville, FL 32609-3234 | 2015-10-21 |
| 1477896876 | Kelly A Jackson | Occupational Therapist | 178 Manila Ave, Staten Island, NY 10306-5608 | 2013-04-03 |
| 1104986793 | Kelly A Jackson | Chiropractor | 190 North Main Street, Natick, MA 01760 | 2006-12-12 |
| 1518982487 | Kelly Donald Jackson | Dentist | 3023 Eastland Blvd Ste 112, Clearwater, FL 33761-4106 | 2006-07-13 |
| 1689273310 | Kelly Jackson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 | 2020-10-23 |
| 1629544655 | Kelly Colleen Jackson | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2018-10-17 |
| 1619457926 | Kelly Jackson | Physician Assistant | 12300 Mccracken Rd, Garfield Heights, OH 44125-2975 | 2018-08-16 |
| 1760961833 | Kelly D Jackson | Licensed Practical Nurse | 602 W Semands St, Conroe, TX 77301-1867 | 2018-08-09 |
| 1033653431 | Kelly Jackson | Nurse Practitioner | 606 W Columbia St, San Augustine, TX 75972-1709 | 2016-12-05 |
| 1497108310 | Kelly Jackson | Massage Therapist | 1325 San Marco Blvd, Suite 102, Jacksonville, FL 32207-8568 | 2016-07-15 |
| Street Address |
1700 MEDICAL CENTER PKWY |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37129-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750366050 | Erich Lussnig | Radiology | 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 | 2005-12-08 |
| 1316437080 | Trevor S Kauffmann | Student in an Organized Health Care Education/Training Program | 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 | 2018-05-17 |
| 1952801169 | Brian Kenneth Brown | Nurse Practitioner | 1700 Medical Center Pkwy, Murfreesboro, TN 37129 | 2018-02-14 |
| 1245751536 | Katie Wicker | Pharmacist | 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 | 2017-06-28 |
| 1922532456 | Priya Darshini Chaturvedi | Internal Medicine | 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 | 2017-04-11 |
| 1962934653 | Cassandra Ann Doucet | Internal Medicine | 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 | 2017-03-31 |
| 1558724971 | Steven Matthew Standley | Internal Medicine | 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 | 2016-04-02 |
| 1508245465 | Julie Hudgens | Pharmacist | 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 | 2015-05-26 |
| 1164832648 | Marian Bekhit | Internal Medicine | 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 | 2014-05-06 |
| 1942620232 | Jaclyn Pearson Spilman | Internal Medicine | 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 | 2014-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183188 | Results-ast Jv, LLC | Physical Therapist | 1203-b Memorial Blvd, Murfreesboro, TN 37129 | 2020-10-27 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1255898185 | Sonja Vanetta Brown Deloatch | Social Worker | 6400 Lebanon Rd, Murfreesboro, TN 37129 | 2019-02-27 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1154841575 | Julia Goddeeris | Audiologist | 804 N Thompson Ln, Murfreesboro, TN 37129 | 2017-06-27 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1437504891 | Journeypure At The River LLC | Substance Abuse Rehabilitation Facility | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-05-04 |
| 1750763900 | Vilayvanh Saysoukha | Podiatrist | 1155 Kennedy Dr Ste 101, Murfreesboro, TN 37129 | 2015-06-24 |
| Find all providers in zip 37129 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316386931 | Lisa Jane Simmons | Nurse Practitioner | 210 Robert Rose Dr Ste B, Murfreesboro, TN 37129-6365 | 2013-06-17 |
| 1437472115 | Deborah Carroll Odom | Nurse Practitioner | 2809 Middle Tennessee Blvd, Murfreesboro, TN 37130-7844 | 2010-03-09 |
| 1649718230 | Danielle Grabovich | Nurse Practitioner | 1840 Medical Center Pkwy Ste 201, Murfreesboro, TN 37129-3237 | 2017-02-03 |
| 1902283930 | Daniel Fox | Nurse Practitioner | 1525 S Church St, Murfreesboro, TN 37130-5510 | 2015-04-28 |
| 1619216603 | Darletta May Steinmetz | Nurse Practitioner | 3163 S Church St, Murfreesboro, TN 37127-7174 | 2013-02-11 |
| 1649515701 | Patty Lynn Dickson | Nurse Practitioner | 1020 N Highland Ave, Murfreesboro, TN 37130-2494 | 2012-11-30 |
| 1255602405 | Kerri Beth Robbins | Nurse Practitioner | 1840 Medical Center Pkwy Ste 201, Murfreesboro, TN 37129-3237 | 2012-01-19 |
| 1508160052 | Lauren Hubbard Adcock | Nurse Practitioner | 1747 Medical Center Pkwy, Murfreesboro, TN 37129-2563 | 2010-12-26 |
| 1285966895 | Provider Services Now, LLC | Nurse Practitioner | 745 S Church St, Murfreesboro, TN 37130-4984 | 2010-02-06 |
| 1679703227 | Amelia Paige Bowen | Nurse Practitioner | 1840 Medical Center Pkwy, Ste. 201, Murfreesboro, TN 37129-3199 | 2009-07-16 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37129 |
Please comment or provide details below to improve the information on KELLY AMANDA 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.