MRS. JACKIE C NOAH (NPI# 1922059609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922059609 |
| Entity Type | Individual |
| Full Name | MRS. JACKIE C NOAH |
| Other Name | MRS. JACKIE C JUSTICE |
| Credential | PA-C |
| Practice Address |
1907 W Morris Blvd Suite G Morristown TN 37813-3860 |
| Practice Telephone | 4233180014 |
| Practice Fax Number | 4233182595 |
| Mailing Telephone | 4233180014 |
| Mailing Fax Number | 4233182595 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1418 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3664724 | 05 |
| Street Address |
1907 W MORRIS BLVD SUITE G |
| City | MORRISTOWN |
| State | TN |
| Zip Code | 37813-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255332581 | Compwhiz International LLC | Physical Therapist | 1907 W Morris Blvd, Suite E, Morristown, TN 37813-3860 | 2005-08-09 |
| 1316394950 | Southern Home Care Services, Inc. | In Home Supportive Care | 1907 W Morris Blvd, Suite A100, Morristown, TN 37813-3860 | 2016-05-24 |
| 1083018048 | William J. Williams, Do, Pllc | Pediatrics | 1907 W Morris Blvd, Suite 300a, Morristown, TN 37813-3860 | 2014-10-20 |
| 1124421847 | Ridgecrest Medical LLC | Family Medicine | 1907 W Morris Blvd, Suite 300a, Morristown, TN 37813-3860 | 2014-10-08 |
| 1417230004 | Whitney Leigh Rogers | Physician Assistant | 1907 W Morris Blvd, Suite G, Morristown, TN 37813-3860 | 2011-09-21 |
| 1205005212 | Annita Jeanne Rowland | Nurse Practitioner | 1907 W Morris Blvd, Suite 300a, Morristown, TN 37813-3860 | 2008-02-23 |
| 1902092638 | Rita A Lee | Nurse Practitioner | 1907 W Morris Blvd, Suite B, Morristown, TN 37813-3860 | 2007-09-17 |
| 1215136874 | William J Williams Do PC | Clinic/Center | 1907 W Morris Blvd, Suite B, Morristown, TN 37813-3860 | 2007-07-13 |
| 1790984219 | Family Medical Clinic of Morristown | Clinic/Center | 1907 W Morris Blvd, Ste B, Morristown, TN 37813-3860 | 2007-07-13 |
| 1811077910 | Morristown Md Inc | Clinic/Center | 1907 W Morris Blvd, Suite A100, Morristown, TN 37813-3860 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902393291 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd., Morristown, TN 37813 | 2018-04-23 |
| 1013404409 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd, Morristown, TN 37813 | 2018-04-20 |
| 1427550847 | Sherri Elizabeth Carlisle | Nurse Practitioner | 420 W Morris Blvd Ste 410, Morristown, TN 37813 | 2018-03-01 |
| 1992100770 | Dan-huy Nguyen | Pharmacist | 251 S. Cumberland St, Morristown, TN 37813 | 2014-10-23 |
| 1427311299 | Covenant Homecare | Durable Medical Equipment & Medical Supplies | 1611 West Morris Blvd, Morristown, TN 37813 | 2012-06-18 |
| 1194032730 | Morristown Pharmacist Group, LLC Dba M.d. Pharmacy | Pharmacy | 1467 W Morris Blvd, Morristown, TN 37813 | 2010-09-02 |
| 1750512653 | Tiffany Colleen Hopkins | Speech-Language Pathologist | 958 Trade St Ste 102, Morristown, TN 37813 | 2009-07-27 |
| 1699934711 | Kidney Center Pllc | Internal Medicine | 1751 West Morris Blvd. Suite 4, Morristown, TN 37813 | 2008-06-04 |
| 1154591055 | Kristal Lay Hurst | Nurse Practitioner | 1079 E Morris Blvd, Morristown, TN 37813 | 2008-03-06 |
| 1013002468 | Daniel James Martin | Physician Assistant | 1907 W. Morris Blvd, Suite B, Morristown, TN 37813 | 2006-10-03 |
| Find all providers in zip 37813 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629584917 | Bradley Allen Irvin | Physician Assistant | 4185 Willow Way, Morristown, TN 37814-1611 | 2017-12-21 |
| 1831619592 | Meghan Mary Nilan | Physician Assistant | 131 Madison Ave Ste 2, Morristown, NJ 07960-7360 | 2017-06-23 |
| 1417348426 | Katherine Eleanor Walton | Physician Assistant | 1434 Monroe St, Morristown, TN 37814-3033 | 2015-02-12 |
| 1235563099 | Andrew Somerville | Physician Assistant | 2 Tikvah Way, Morristown, NJ 07960-3651 | 2013-08-29 |
| 1588006969 | Jenna Stephanie Giannelli | Physician Assistant | 435 South St Ste 370, Morristown, NJ 07960-6480 | 2013-07-25 |
| 1750563631 | George Trion Lawless | Physician Assistant | 5932 Commerce Blvd, Carehere, Morristown, TN 37814-1051 | 2007-12-03 |
| 1013002468 | Daniel James Martin | Physician Assistant | 1907 W. Morris Blvd, Suite B, Morristown, TN 37813 | 2006-10-03 |
| 1609976984 | David Farag | Physician Assistant | 182 South Street, Suite 1, Morristown, NJ 07960-5350 | 2006-09-25 |
| 1427092691 | Cheryl Boss | Physician Assistant | Morristown Memorial Hospital, 100 Madison Avenue, Morristown, NJ 07960 | 2006-06-16 |
| 1124079017 | Mark W Ingram | Physician Assistant | 908 West North 4th St, Morristown, TN 37813 | 2006-05-15 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 37813 |
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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.