MONICA JEAN JACKSON (NPI# 1912522442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912522442 |
| Entity Type | Individual |
| Full Name | MONICA JEAN JACKSON |
| Credential | FNP-B |
| Practice Address |
2324 White Rd Gallipolis OH 45631-8502 |
| Practice Telephone | 8644423253 |
| Mailing Telephone | 8644423253 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
106415 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184102063 | Monica Jackson | Nurse Practitioner | 1360 Star Ct Ste 323, Plano, TX 75074-7353 | 2018-08-01 |
| 1487172029 | Monica Jackson | Registered Nurse | 3235 Gosport Way, Rancho Cordova, CA 95670 | 2017-09-05 |
| 1508227950 | Monica Denice Jackson | Specialist | 760 N Thompson Ln Ste 15, Murfreesboro, TN 37129-4316 | 2016-03-14 |
| 1811327877 | Monica Jackson | Counselor | 1850 Lee Rd Ste 200, Winter Park, FL 32789-2106 | 2013-11-12 |
| 1215281878 | Monica L. Jackson | Licensed Practical Nurse | 5148 Valley Forge Dr, Toledo, OH 43613-2837 | 2012-11-05 |
| 1548583719 | Monica D Jackson | Physician Assistant | 502 E General Stewart Way Ste A, Hinesville, GA 31313-2643 | 2010-03-02 |
| 1356957609 | Monica Jackson | Physical Therapist | 1012 Water St, Meadville, PA 16335-3468 | 2020-09-22 |
| 1316502594 | Monica D Jackson | Case Manager/Care Coordinator | 11059 E Bethany Dr Ste 238, Aurora, CO 80014-2622 | 2019-05-03 |
| 1811424328 | Monica Jackson | Social Worker | 3125 Poplarwood Ct Ste 300, Raleigh, NC 27604-6445 | 2017-05-15 |
| 1255882841 | Monica Jackson | Community Health Worker | 134 Se 5th Ave, Suite C, Hillsboro, OR 97123-4095 | 2016-10-18 |
| Street Address |
2324 WHITE RD |
| City | GALLIPOLIS |
| State | OH |
| Zip Code | 45631-8502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982178703 | Nathaniel D Chapman | Specialist/Technologist | 4th Avenue and Sycamore State, Gallipolis, OH 45631 | 2019-01-15 |
| 1013499029 | Spencer Kissel | Nurse Practitioner | 1284 State Route 160, Gallipolis, OH 45631 | 2018-09-06 |
| 1164940078 | Spring Valley Family Pharmacy LLC | Pharmacy | 448 Jackson Pike Road, Gallipolis, OH 45631 | 2017-08-31 |
| 1831619832 | Crystal N Rankin | Registered Nurse | 471 Paxton Rd, Gallipolis, OH 45631 | 2017-06-21 |
| 1962869685 | Edward Mussi Jr. | Specialist/Technologist | 1051 4th Ave, Gallipolis, OH 45631 | 2016-01-26 |
| 1861822181 | Arbors At Gallipolis | Nursing Facility/Intermediate Care Facility | 170 Pinecrest Drive, Gallipolis, OH 45631 | 2013-11-22 |
| 1619237039 | Mark W. Hasseman | Massage Therapist | 21 Central Avenue, Suite C, Gallipolis, OH 45631 | 2012-05-18 |
| 1730487463 | Elizabeth A Canaday | Nurse Practitioner | 10 Airport Rd, Gallipolis, OH 45631 | 2011-03-03 |
| 1467759456 | Allen Keith Sheets | Dentist | 722 Second Avenue, Gallipolis, OH 45631 | 2011-02-28 |
| 1144398074 | Richard Bowers Simpson | Family Medicine | 49 Ohio Ave, Gallipolis, OH 45631 | 2006-11-30 |
| Find all providers in zip 45631 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033601851 | Paulette L Flinner | Nurse Practitioner | 995 Jackson Pike, Gallipolis, OH 45631-2621 | 2018-06-06 |
| 1386154581 | Latasha Alvaro | Nurse Practitioner | 499 Jackson Pike Ste D, Gallipolis, OH 45631-1399 | 2017-10-03 |
| 1972992196 | Kimberly A. Brumfield | Nurse Practitioner | 995 Jackson Pike Ste 102, Gallipolis, OH 45631-2621 | 2015-01-12 |
| 1730487463 | Elizabeth A Canaday | Nurse Practitioner | 10 Airport Rd, Gallipolis, OH 45631 | 2011-03-03 |
| 1205860368 | Patricia Kline Fisco | Nurse Practitioner | 422 Hedgewood Dr, Gallipolis, OH 45631-1114 | 2006-07-11 |
| 1669440723 | Dianna Kay Smith | Nurse Practitioner | 254 Pinecrest Dr, Gallipolis, OH 45631-1347 | 2006-03-14 |
| 1477532679 | Margaret Mary Damia Hayman | Nurse Practitioner | 420 Silver Bridge Plz, Gallipolis, OH 45631-1861 | 2006-01-16 |
| 1780299560 | Melissa Burris | Nurse Practitioner | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2020-09-09 |
| 1215563051 | Halley Barnes | Nurse Practitioner | 704 2nd Ave, Gallipolis, OH 45631-1514 | 2020-03-12 |
| 1841834488 | Mauja Venugopal Rajan | Nurse Practitioner | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2019-11-06 |
| Find all providers in GALLIPOLIS | ||||
| City | GALLIPOLIS |
| Zip Code | 45631 |
Please comment or provide details below to improve the information on MONICA JEAN 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.