PAMELA SUE JACKSON (NPI# 1891756425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891756425 |
| Entity Type | Individual |
| Full Name | PAMELA SUE JACKSON |
| Credential | NP |
| Practice Address |
3300 Rivermont Ave Lynchburg VA 24503-2030 |
| Practice Telephone | 4342004504 |
| Mailing Telephone | 4342004504 |
| Mailing Fax Number | 4342004590 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2019-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
0024175936 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872411 | Pamela Angela Jackson | Counselor | 3720 S Street N.w Lestine Jackson, House, Washington, DC 20007 | 2020-05-13 |
| 1013482439 | Pamela Kenna Jackson | Driver | 22 Hope Ln, Elizabethport, NJ 07206-1833 | 2018-10-12 |
| 1265948194 | Pamela Ann Jackson | Counselor | 106 S Independence St, Harrisonville, MO 64701-2348 | 2017-12-14 |
| 1629503693 | Pamela Jackson | Homemaker | 47 Sunny Ln, B, South Lebanon, OH 45065-1431 | 2017-04-26 |
| 1417320995 | Pamela Elaine Jackson | Counselor | 7200 Bancroft Ave Ste 176, Oakland, CA 94605-2411 | 2015-11-05 |
| 1134384498 | Pamela Jackson | Licensed Practical Nurse | 2273 Rolling Hills Blvd, Fairfield, OH 45014-3760 | 2008-07-25 |
| 1518141704 | Pamela L. Jackson | Counselor | 190 Marchand Dr, Apartment 1, Westover, WV 26501-3895 | 2007-12-24 |
| 1356464309 | Pamela Sue Jackson | Music Therapist | 1540 Colorado Ave, Canon City, CO 81212-4511 | 2007-04-06 |
| 1467522250 | Pamela Sue Jackson | Social Worker | 17 W Water St, Pinckneyville, IL 62274-1027 | 2006-11-08 |
| 1699851931 | Pamela Taylor Jackson | Nurse Practitioner | 226 Louisiana Ave, Opelousas, LA 70570-3346 | 2006-10-30 |
| Street Address |
3300 RIVERMONT AVE |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24503-2030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384137 | James Cummings Dunstan Jr. | Orthopaedic Surgery | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2005-05-31 |
| 1649887175 | Bruce Slagle | Pharmacy Technician | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2020-09-29 |
| 1023622149 | Stephanie Lane Porter | Nurse Practitioner | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2020-09-04 |
| 1013532803 | Meredith Ryan Smith | Counselor | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2020-06-08 |
| 1326682980 | Centra Medical Group, LLC | Family Medicine | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-11-06 |
| 1831751809 | Elizabeth Ware | Speech-Language Pathologist | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-07-01 |
| 1730740788 | Rhandi Nichole Norman | Registered Nurse | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-06-20 |
| 1922668136 | Paula Deane Creekmore | Nurse Practitioner | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-06-19 |
| 1215401948 | Adam Russell Penrose | Nurse Anesthetist, Certified Registered | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-01-16 |
| 1891268199 | Donna C Schwarz | Nurse Anesthetist, Certified Registered | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661859 | Better Way Psychiatry Pllc | Psychiatry & Neurology | 4925 Boonsboro Road, Pmb 137, Lynchburg, VA 24503 | 2020-08-25 |
| 1164845632 | Andrew Joseph Anderson | Family Medicine | 4327 Boonsboro Rd Ste 5, Lynchburg, VA 24503 | 2014-02-03 |
| 1407139421 | William Carter Wingfield Sr. | Pharmacist | 5006 Old Boonsboro Rd, Lynchburg, VA 24503 | 2011-09-26 |
| 1912226382 | The Way Congregational Church | Voluntary or Charitable | 3305 Rivermont Avenue, Lynchburg, VA 24503 | 2010-05-25 |
| 1659549897 | Elizabeth Ann Bolton | Speech-Language Pathologist | 302 Rowland Dr., Lynchburg, VA 24503 | 2008-02-11 |
| 1821286485 | Mary Ayers Highton | Nurse Practitioner | 3300 Rivermont Ave., Lynchburg, VA 24503 | 2007-10-09 |
| 1588746044 | Presbyterian Homes and Family Services | Day Training, Developmentally Disabled Services | 150 Linden Avenue, Lynchburg, VA 24503 | 2006-10-20 |
| 1417043910 | Timothy Clinton | Counselor | 2811 Linkhorne Dr., Ste B, Lynchburg, VA 24503 | 2006-10-04 |
| 1730733288 | Joy Lois Knapton | Lactation Consultant, Non-RN | 150 Linden Ave, Lynchburg, VA 24503 | 2019-08-01 |
| 1346606845 | Julie Brown | Registered Nurse | 3300 Rivermont Ave., Virginia Baptist Hospital, Lynchburg, VA 24503 | 2016-01-13 |
| Find all providers in zip 24503 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821286485 | Mary Ayers Highton | Nurse Practitioner | 3300 Rivermont Ave., Lynchburg, VA 24503 | 2007-10-09 |
| 1124209713 | Vicky Maddox Brunet | Nurse Practitioner | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2007-11-24 |
| 1265620850 | Brenda Markham Yarber | Nurse Practitioner | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2007-10-09 |
| 1003002064 | Carrie Gunn Turner | Nurse Practitioner | 3300 Rivermont Ave, Intensive Care Nursery, Lynchburg, VA 24503-2030 | 2007-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831636463 | Tammy A Lewis | Nurse Practitioner | 5803 Bremo Road, Richmond, VA 23226 | 2017-01-20 |
| 1851586739 | Daniele Pasquini Ottinger | Nurse Practitioner | Lee Street Seventh Floor, Charlottesville, VA 22908-0001 | 2007-09-13 |
| 1144426404 | Teri E Minehart | Nurse Practitioner | 1701 No. George Mason Drive, Arlington, VA 22205 | 2007-06-25 |
| 1730393745 | Karen Borne Powell | Nurse Practitioner | 24440 Stone Springs Blvd, Dulles, VA 20166-2247 | 2007-05-09 |
| 1689727380 | Katherine Denise Tully | Nurse Practitioner | 1060 1st Colonial Rd, Pediatrix Medical Group, Virginia Beach, VA 23454 | 2007-01-18 |
| 1548337579 | Pamela Ann Fuller | Nurse Practitioner | 1508 Sandgate Rd, Midlothian, VA 23113-2446 | 2006-11-28 |
| 1033220322 | Erin P Broush | Nurse Practitioner | 1213 E Clay St, Richmond, VA 23298-5071 | 2006-08-31 |
| 1619924974 | Cheryl Viar Allison | Nurse Practitioner | 101 Elm Ave., Roanoke, VA 24012 | 2006-05-30 |
| 1720046246 | Diane Sue Goode | Nurse Practitioner | 7195 Scarlet Oak Dr, Roanoke, VA 24019-2133 | 2006-05-03 |
| 1689634925 | Donna Lynn Buchanan | Nurse Practitioner | 1506 Willow Lawn Dr, Suite 205, Richmond, VA 23230-3413 | 2006-03-23 |
| Find all providers with the same taxonomy | ||||
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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.