JESSICA R JACKSON (NPI# 1871120600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871120600 |
| Entity Type | Individual |
| Full Name | JESSICA R JACKSON |
| Credential | MSN, APRN, PMHNP |
| Practice Address |
303 S Commercial St Ste 10 Harrisburg IL 62946-2125 |
| Practice Telephone | 6182525555 |
| Mailing Telephone | 6182525555 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209021074 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759594 | Jessica Ashley Jackson | Social Worker | 310 W Mckinley Ave, Mishawaka, IN 46545-5600 | 2020-10-28 |
| 1396387361 | Jessica Leeann Jackson | In Home Supportive Care | 2643 Portsmouth Pl, Hephzibah, GA 30815-6434 | 2019-10-11 |
| 1720638018 | Jessica Jackson | Registered Nurse | 1600 Pine Tree Rd Apt 415, Longview, TX 75604-3244 | 2019-09-18 |
| 1386106326 | Jessica Marie Jackson | Specialist/Technologist | 120 Main St Apt 217, Saco, ME 04072-3528 | 2019-04-01 |
| 1205335916 | Jessica Berdette Jackson | Licensed Practical Nurse | 376 Owego Rd, Candor, NY 13743-1645 | 2018-02-08 |
| 1023553187 | Jessica Elise Jackson | Physician Assistant | 2109 S Santa Fe Ave, Moore, OK 73160-2807 | 2016-12-28 |
| 1982151130 | Jessica Jackson | Licensed Practical Nurse | 25 Green Knolls Dr Apt D, Rochester, NY 14620-4777 | 2016-09-06 |
| 1770940975 | Jessica Jackson | Technician, Other | 24024 Evergreen Rd Apt 108a, Southfield, MI 48075-5517 | 2016-01-20 |
| 1710344007 | Jessica Jackson | Social Worker | 4 Tufts Trl, Hopatcong, NJ 07843-1013 | 2016-01-18 |
| 1336572726 | Jessica L Jackson | Health Educator | 492 Naughright Rd, Long Valley, NJ 07853-3807 | 2013-08-20 |
| Street Address |
303 S COMMERCIAL ST STE 10 |
| City | HARRISBURG |
| State | IL |
| Zip Code | 62946-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730415621 | Jeffrey Shawn Owens | Occupational Therapist | 303 S Commercial St Ste 10, Harrisburg, IL 62946-2125 | 2009-10-27 |
| 1962711085 | D. Tyler Dennison | Chiropractor | 303 S Commercial St Ste 10, Harrisburg, IL 62946-2125 | 2010-10-07 |
| 1477873446 | Kyleen E Millenbine | Physical Therapist | 303 S Commercial St Ste 10, Harrisburg, IL 62946-2125 | 2010-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195117 | Leslie Wheeler | Pharmacist | #4 Commercial Drive, Harrisburg, IL 62946 | 2020-08-18 |
| 1215337266 | Prn Pharmacies Ltd | Durable Medical Equipment & Medical Supplies | 501 E. Sloan St., Harrisburg, IL 62946 | 2014-08-27 |
| 1316293855 | Steward Chiropractic Center, LLC | Chiropractor | 608 Rollie Moore Dr., Suite 2, Harrisburg, IL 62946 | 2012-08-02 |
| 1558664664 | Harrisburg Medical Center Inc | Clinic/Center | 183 W Lane St, Equality, IL 62946 | 2010-12-10 |
| 1588849178 | Scarlett Annette Oyler | Technician, Other | 607 W Commercial Suite, Harrisburg, IL 62946 | 2008-01-02 |
| 1043427958 | Debbie Oglesby | Case Manager/Care Coordinator | #22 Veterans Drive, Harrisburg, IL 62946 | 2007-05-17 |
| 1336272764 | Coleman Tri-county Services, Inc. | Community/Behavioral Health | # 22 Veterans Drive, Harrisburg, IL 62946 | 2007-03-14 |
| 1437212081 | Harris Frank LLC | Skilled Nursing Facility | Harrisburg Care Center, 1000 West Sloan St, Harrisburg, IL 62946 | 2006-12-18 |
| 1932269701 | Leanne H Deneal | Physician Assistant | 28 Veteran's Drive, Harrisburg, IL 62946 | 2006-12-11 |
| 1881646990 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 20 Veterans Drive, Harrisburg, IL 62946 | 2006-05-17 |
| Find all providers in zip 62946 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689183840 | Tina Norris | Nurse Practitioner | 3940 Locust Lane, Harrisburg, PA 17109-4023 | 2017-09-20 |
| 1255697561 | Stephanie Boisvert Canal | Nurse Practitioner | Youth Advocate Programs, Inc 1515 N Front Street, Harrisburg, PA 17102-1815 | 2012-04-11 |
| 1053925560 | Katherine Miller | Nurse Practitioner | 2595 Interstate Dr, Harrisburg, PA 17110-9378 | 2020-09-02 |
| 1649880378 | Eva Marie Marshall | Nurse Practitioner | 205 S Front St Fl 5, Harrisburg, PA 17104-1619 | 2020-08-07 |
| 1316556566 | Kelly Anna Fetterhoff | Nurse Practitioner | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-07-23 |
| 1992324016 | Thomas Koste | Nurse Practitioner | 2030 N 3rd St, Harrisburg, PA 17102-1814 | 2020-04-09 |
| 1699322149 | Lisa Ann Rovelli | Nurse Practitioner | 205 S Front St Fl 5, Harrisburg, PA 17104-1619 | 2019-08-20 |
| 1821563909 | Denise Jocelyn Gemzik Jemiola | Nurse Practitioner | 3940 Locust Ln, Harrisburg, PA 17109-4023 | 2018-10-04 |
| 1427562701 | Kenyatte Zabre Canidate | Nurse Practitioner | 205 South Front Street, 5th Floor Bma, Harrisburg, PA 17104-1619 | 2017-11-26 |
| 1407271661 | Candice Regan | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2014-02-25 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 62946 |
Please comment or provide details below to improve the information on JESSICA R 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.