PATRICK DIOR JACKSON


Address: 5111 S 3rd St, Louisville, KY 40214-2601
Phone: 5026901511

PATRICK DIOR JACKSON (NPI# 1871141457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871141457
Entity Type Individual
Full Name PATRICK DIOR JACKSON
Practice Address 5111 S 3rd St
Louisville
KY 40214-2601
Mailing Address 811 Stonebench Cir
Jeffersonvlle
IN 47130-4220
Practice Telephone 5026901511
Mailing Telephone 8125575365
Enumeration Date 2019-08-28
Last Update Date 2019-08-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YS0200X Counselor
Specialization: School
201114318 KY Behavioral Health & Social Service Providers

Other Providers PATRICK JACKSON

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1295341097 Patrick Dale Jackson Pharmacist 19300 S Hamilton Ave Ste 170-180, Gardena, CA 90248-4400 2020-09-17
1962968560 Patrick Jackson Behavior Technician 918 Eisenhower Dr, Rock Springs, WY 82901-4449 2019-02-19
1427273713 Patrick Louis Jackson Sr. Durable Medical Equipment & Medical Supplies 58110 W W Harleaux St, Plaquemine, LA 70764-3230 2007-04-13
1093253833 Patrick Jackson Chiropractor 630 National Hwy, Thomasville, NC 27360-2601 2017-02-01
1629414701 Patrick Jackson Emergency Medicine 1000 Blythe Blvd, Charlotte, NC 28203-5812 2013-05-16
1548587835 Patrick E Jackson Internal Medicine 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2010-04-26
1619062908 Patrick Jackson Dentist 16 Washington St, Toms River, NJ 08753-7643 2006-10-04
1508865940 Patrick Jackson Surgery 3800 Reservoir Rd Nw, Washington, DC 20007-2113 2005-07-19

Office Location

Street Address 5111 S 3RD ST
City LOUISVILLE
State KY
Zip Code 40214-2601

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477058659 Abcdentistry Clinic/Center 5316 S 3rd St, Louisville, KY 40214 2018-03-28
1538591300 Byrne Dental,psc Dentist 4739 So. Third Street, Louisville, KY 40214 2013-08-05
1205110400 Michael Wayne Probst Pharmacist 5201 South Third Street, Louisville, KY 40214 2011-10-06
1871876920 Cindy Eillene Ohlmann Pharmacist 5400 New Cut Road, Louisville, KY 40214 2011-09-26
1801129960 Deborah Suzanne Slusher Speech-Language Pathologist 109 Seneca Trail, Louisville, KY 40214 2009-09-08
1255592267 Mitisha Nichole Martin Dentist 5316 S. 3rd Street, Louisville, KY 40214 2008-06-23
1588862361 Kentucky Eye Surgery Associates Psc Ophthalmology 4940 Hazelwood Avenue, Louisville, KY 40214 2007-07-03
1558565739 James Latroy Burks Counselor 927 Southview Rd, Louisville, KY 40214 2007-06-12
1770792475 Kimberly Lynn Wheatley Physical Therapist 250 Kenwood Hill Road, Louisville, KY 40214 2007-05-21
1821219601 Courtney Marie Smith Speech-Language Pathologist 3222 Rolling Oak Blvd, Louisville, KS 40214 2007-05-01
Find all providers in zip 40214

Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255732442 Kathryn Temple Counselor 320 Owl Dr, Louisville, CO 80027-2242 2014-09-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740821255 Mackenzie Erin Kennett Counselor 636 Central Pike, Harrodsburg, KY 40330-7718 2019-10-06
1124501101 Callie Elizabeth Quillen Counselor 915 N Laurel Rd, London, KY 40741-9029 2018-09-14
1588873988 Shauna Vanessa Bratton Counselor 3825 Dixie Hwy, Elsmere, KY 41018-1809 2007-05-22
1811025075 Grayson County Board of Education Counselor 909 Brandenburg Rd, Leitchfield, KY 42754-2001 2007-03-01
1346881885 Pamela Justice Stewart Counselor 1203 American Greeting Card Rd, Corbin, KY 40701-4811 2019-10-07
1356713804 Mindy Pfau Counselor 374 N Ky 7, Sandy Hook, KY 41171-7938 2015-10-23
1457768780 Russ White Counselor 3025 Clay St, Paducah, KY 42001-4071 2014-07-18
1205060274 Angelia Campbell Counselor 115 Rockwood Ln, Hazard, KY 41701-9415 2009-05-06
1386855401 Randi Beth Sutnick Counselor 3629 Church St, Covington, KY 41015-1430 2007-05-24
1407066202 Christina Ann Hill Counselor 3629 Church St, Covington, KY 41015-1430 2007-05-23
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Competitor

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City LOUISVILLE
Zip Code 40214

Improve Information

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Dataset Information

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.

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