MR. CHARLES E. JACKSON (NPI# 1871995803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871995803 |
Entity Type | Individual |
Full Name | MR. CHARLES E. JACKSON |
Credential | FNP-C |
Practice Address |
1101 15th St Nw Washington DC 20005-5002 |
Mailing Address |
805 S Main St Laurinburg NC 28352-4724 |
Practice Telephone | 2025447580 |
Practice Fax Number | 2023793570 |
Mailing Telephone | 9105064679 |
Mailing Fax Number | 9105064699 |
Enumeration Date | 2014-09-22 |
Last Update Date | 2019-12-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN1049831 | DC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5007190 | NC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457896839 | Charles Jackson | Counselor | 2911 Penick St, Shreveport, LA 71109-4337 | 2016-12-21 |
1043655681 | Charles D Jackson | Driver | 4856 W.12th, Suite 1, Cleveland, OH 44109-3424 | 2013-05-09 |
1437594553 | Charles Jackson | Social Worker | 18712 Quarry St, Riverview, MI 48193-4527 | 2013-05-02 |
1508154105 | Charles Gilbert Jackson Jr. | Psychiatry & Neurology | 88 Crescent St, Northampton, MA 01060-2115 | 2011-07-16 |
1457669848 | Charles Edward Jackson Jr. | Psychologist | 1407 Healing Water Lane, N.las Vegas, NV 89031 | 2010-09-20 |
1588994081 | Charles Dustin Jackson | Counselor | 5004 Nw 26th St, Oklahoma City, OK 73127-1722 | 2010-01-05 |
1508985250 | Charles Arthur Jackson Jr. | Chiropractor | 2455 E Hill Rd, Grand Blanc, MI 48439 | 2007-03-27 |
1760535926 | Charles Jackson | Podiatrist | 820 N Dalmont St, Hobbs, NM 88240-5214 | 2007-01-19 |
1982769840 | Charles Jackson | Dentist | 3540 82nd St, Jackson Heights, NY 11372-5159 | 2006-12-22 |
1437224813 | Charles Wesley Jackson Jr. | Psychologist | 2980 Washington Blvd, Cleveland Heights, OH 44118-2450 | 2006-11-21 |
Street Address |
1101 15TH ST NW |
City | WASHINGTON |
State | DC |
Zip Code | 20005-5002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740249309 | Donald Michael Stout | Emergency Medicine | 1101 15th St Nw, Washington, DC 20005-5002 | 2006-03-22 |
1891214920 | Heather Pupavac | Nurse Practitioner | 1101 15th St Nw, Washington, DC 20005-5002 | 2017-09-09 |
1205201993 | Elizabeth Prevou | Physician Assistant | 1101 15th St Nw, Washington, DC 20005-5002 | 2015-12-06 |
1962813840 | Marcus Lonnell Davis | Emergency Medicine | 1101 15th St Nw, Washington, DC 20005-5002 | 2014-05-14 |
1922444215 | Noelle Starr Sherber Md LLC | Plastic Surgery | 1101 15th St Nw, Suite 100, Washington, DC 20005-5002 | 2013-05-14 |
1518275304 | Aima Payton | Nurse Practitioner | 1101 15th St Nw, Washington, DC 20005-5002 | 2010-09-15 |
1992908230 | Noelle Starr Sherber | Dermatology | 1101 15th St Nw, Suite 100, Washington, DC 20005-5002 | 2007-06-06 |
1538215843 | Ariel N Rad | Specialist | 1101 15th St Nw, Ste 100, Washington, DC 20005-5002 | 2007-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568062842 | Nikki Taylor Talarico | Counselor | 601 13th St Sw, Suite 900, Washington, DC 20005 | 2020-10-27 |
1962028019 | Care for All Home Services, LLC | Case Management | 1402 N St Nw, Ste# 102, Washington, DC 20005 | 2020-06-24 |
1639704398 | Hazel Ware | Behavior Technician | 1200 G Street Nw, Suite 800, Washington, DC 20005 | 2020-03-03 |
1528692126 | Candace Wyman | Behavior Technician | 1200 G Street Nw, St, 800, Washington, DC 20005 | 2020-02-24 |
1336773936 | Janice Arana | Behavior Technician | 1200 G Street Nw, Ste 800, Washington, DC 20005 | 2020-02-24 |
1437796745 | Tinaisha Artis | Behavioral Analyst | 1100 H Street Nw, Suite 640, Washington,dc, DC 20005 | 2019-12-05 |
1255972212 | Viviane None Tankeu Djoteng | Home Health Aide | 1010 Vermont Street Suite 1003, Washington, DC 20005 | 2019-10-01 |
1891349353 | Natenael Teshome Jenfessa | Registered Nurse | 1504 Kingman Pl Nw, Washington, DC 20005 | 2019-08-01 |
1962963280 | Manual Medicine Spine and Sports Physical Therapy | Clinic/Center | 1015 15th St Nw, Ste 614k, Washington, DC 20005 | 2019-03-28 |
1245713726 | Erica Featherson | Psychologist | 601 13th St Nw, Washington, DC 20005 | 2018-09-11 |
Find all providers in zip 20005 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
1184222754 | Aimee Elizabeth Westmore | Nurse Practitioner | 7701 26 Mile Rd, Washington, MI 48094-2804 | 2020-10-15 |
1649877416 | Rachel Maurine Caudle | Nurse Practitioner | 1504 Kern Rd, Washington, IL 61571-2318 | 2020-10-05 |
1922615236 | Erica Stickney | Nurse Practitioner | 532 E Beau St, Washington, PA 15301-3608 | 2020-09-30 |
1740896448 | Elizabeth Smith | Nurse Practitioner | 516 58th St Ne, Washington, DC 20019-6911 | 2020-09-17 |
1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
1669086278 | Morgan Marie Weisz | Nurse Practitioner | 1809 Monroe St Ne, Washington, DC 20018-2735 | 2020-09-01 |
1952915746 | Alexandra Renee Leeper | Nurse Practitioner | 363 Maple Ave, Washington, PA 15301-1907 | 2020-08-31 |
1114530045 | Brittany Ann Enlow | Nurse Practitioner | 620 E Washington St, Washington, IA 52353-2031 | 2020-08-29 |
1174136345 | Sarah King | Nurse Practitioner | 314 Carroll St Nw Apt 202, Washington, DC 20012-2026 | 2020-08-27 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 20005 |
Please comment or provide details below to improve the information on MR. CHARLES E. 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.