CAROLYN DENISE JACKSON (NPI# 1851672299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851672299 |
Entity Type | Individual |
Full Name | CAROLYN DENISE JACKSON |
Credential | FNP-C |
Practice Address |
607 W Due West Ave Madison TN 37115-4431 |
Mailing Address |
205 5th Ave E Springfield TN 37172-2435 |
Practice Telephone | 6158656269 |
Enumeration Date | 2011-08-30 |
Last Update Date | 2012-06-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000016055 | TN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417428251 | Carolyn Jackson | Registered Nurse | 12502 Beauline Abbey St, Tomball, TX 77377-9017 | 2018-12-05 |
1407223233 | Carolyn Jackson | Dietitian, Registered | 1139 Yale Pl, Charlotte, NC 28209-1437 | 2015-08-27 |
1750779187 | Carolyn E Jackson | Physical Therapist | 737 Se Main St, Ste 200, Simpsonville, SC 29681-3262 | 2015-01-08 |
1386984284 | Carolyn Ann Jackson | Registered Nurse | 926 Perry Ave, Dillon, SC 29536-4734 | 2013-03-01 |
1689805657 | Carolyn Denise Jackson | Counselor | 3205 Randall Pkwy Ste 121, Wilmington, NC 28403 | 2009-08-07 |
1356453591 | Carolyn Marie Jackson | Social Worker | 380 E Fort Lowell Rd Ste 120, Tucson, AZ 85705-3981 | 2006-08-31 |
1023063823 | Carolyn A Jackson | Nurse Practitioner | 37984 Airport Rd, Woodsfield, OH 43793-9247 | 2006-05-23 |
1568972065 | Carolyn Louise Jackson | Case Manager/Care Coordinator | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2017-10-10 |
1740723972 | Carolyn Jackson | In Home Supportive Care | 301 Main St Ste 2200, Baton Rouge, LA 70801-0014 | 2016-11-20 |
1821460742 | Carolyn Jackson | Social Worker | 11616 Southfork Ave, Baton Rouge, LA 70816-5241 | 2015-10-30 |
Street Address |
607 W DUE WEST AVE |
City | MADISON |
State | TN |
Zip Code | 37115-4431 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912977430 | Marcus Min | Internal Medicine | 607 W Due West Ave, Suite 122, Madison, TN 37115-4431 | 2006-01-26 |
1588120695 | Embrace Health and Wellness | Clinic/Center | 607 W Due West Ave, Madison, TN 37115-4431 | 2019-02-13 |
1942709217 | Jenna Mayfield Morton | Physician Assistant | 607 W Due West Ave, Madison, TN 37115-4431 | 2018-02-01 |
1295273043 | Malones Group LLC | Clinical Nurse Specialist | 607 W Due West Ave, Suite 105, Madison, TN 37115-4431 | 2017-02-01 |
1902262298 | Orlando Lamar Jones | Nurse Practitioner | 607 W Due West Ave, Madison, TN 37115-4431 | 2016-01-04 |
1821429531 | Jackson Family Dental,pllc | Dentist | 607 W Due West Ave, Suit 110, Madison, TN 37115-4431 | 2013-12-05 |
1770830804 | Genesis Health and Wellness Group | Clinic/Center | 607 W Due West Ave, Suite 105, Madison, TN 37115-4431 | 2012-08-08 |
1750516449 | Choice Family Healthcare Pllc | Physician Assistant | 607 W Due West Ave, Suite # 105, Madison, TN 37115-4431 | 2009-05-25 |
1346483104 | Advanced Sleep Diagnostics, Inc. | Clinic/Center | 607 W Due West Ave, Madison, TN 37115-4431 | 2009-04-09 |
1942484001 | L. Edwin Rice, Jr., Md, Pllc | Ophthalmology | 607 W Due West Ave, Ste. 115, Madison, TN 37115-4431 | 2007-12-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
Find all providers in zip 37115 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902424468 | Rachel Gallagher | Nurse Practitioner | 822 E Washington Ave, Madison, WI 53703-6500 | 2020-07-10 |
1932728177 | Cori Barkei | Nurse Practitioner | 3128 Limekiln St, Madison, WI 53719-2573 | 2020-04-08 |
1265075626 | Maria Rachuonyo | Nurse Practitioner | 165 Chestnut Dr, Madison, AL 35758-9524 | 2019-10-17 |
1548821333 | Sumner B Douglas | Nurse Practitioner | 401 Baptist Dr Ste 1040, Madison, MS 39110-2009 | 2019-06-24 |
1942865365 | Marta Cooper | Nurse Practitioner | 579 Donofrio Dr Ste 1, Madison, WI 53719-2838 | 2019-05-02 |
1215490024 | Angela Wiggins | Nurse Practitioner | 1210 Briarville Rd Bldg B, Madison, TN 37115-5136 | 2019-04-09 |
1124585419 | Melissa Kay Albright | Nurse Practitioner | 44 Hughes Rd Ste 2500, Madison, AL 35758-3026 | 2019-02-22 |
1912475393 | Katlynn Ann Kelley | Nurse Practitioner | 20 S Park St Rm M417, Madison, WI 53715-1348 | 2018-11-05 |
1053887943 | Denita Ward | Nurse Practitioner | 2145 Fox Ave, Madison, WI 53711-1920 | 2018-10-17 |
1992203079 | Brandy J Smith | Nurse Practitioner | 703 Green Rd Ste 1, Madison, IN 47250-2145 | 2018-01-24 |
Find all providers in MADISON |
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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.