MEGAN JACKSON (NPI# 1952778375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952778375 |
| Entity Type | Individual |
| Full Name | MEGAN JACKSON |
| Practice Address |
410 N Sawyer Rd Kendallville IN 46755-2572 |
| Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2603470977 |
| Practice Fax Number | 2603478547 |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2019-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71005959A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909388 | Megan Kayla Jackson | Registered Nurse | 110 Southport Rd Apt 43, Spartanburg, SC 29306-3806 | 2020-07-09 |
| 1659996171 | Megan Denise Jackson | Speech-Language Pathologist | 142 Deepcove Rd, Winter Garden, FL 34787-4389 | 2020-06-10 |
| 1093216087 | Megan Jackson | Chiropractor | 608 Preston Ave Ste 100, Charlottesville, VA 22903-4566 | 2018-02-24 |
| 1821513342 | Megan Mcfaddin Jackson | Nurse Practitioner | 494 Baxter St Ste A, Athens, GA 30605-6115 | 2017-08-04 |
| 1043676901 | Megan Jackson | Counselor | 1308 N 1st Ave # A, Durant, OK 74701-2813 | 2016-01-07 |
| 1841689155 | Megan Lee Jackson | Physical Therapy Assistant | 718 Wolf Branch Cir, Dillon, SC 29536-7328 | 2015-01-12 |
| 1316553183 | Megan Nikole Jackson | Case Manager/Care Coordinator | 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2020-09-17 |
| 1598312050 | Megan Jackson | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2019-08-20 |
| 1114484151 | Megan Jackson | Case Manager/Care Coordinator | 775 S Bonner St, Ruston, LA 71270-5801 | 2019-02-26 |
| 1023531266 | Megan Jackson | Pharmacist | 900 Assembly St, Columbia, SC 29201-3938 | 2017-07-19 |
| Street Address |
410 N SAWYER RD |
| City | KENDALLVILLE |
| State | IN |
| Zip Code | 46755-2572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326456302 | Laura Silver | Nurse Practitioner | 410 N Sawyer Rd, Kendallville, IN 46755-2572 | 2014-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700292422 | Dawn Levin | Physical Therapist | 1292 Drake Rd, Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1679989495 | Elaine Patterson | Physical Therapist | 1292 Drake Rd., Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1841606563 | Justin Todd Chaple | Physical Therapist | 1292 Drake Road, Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1073802997 | Bryan William Smith | Counselor | 1930 Dowling St., Kendallville, IN 46755 | 2011-03-31 |
| 1417101247 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 124 E North St, Kendallville, IN 46755 | 2008-11-06 |
| 1770778367 | Assisted Living Concepts Inc | Assisted Living Facility | 2870 South Lima Road, Kendalville, IN 46755 | 2007-09-07 |
| 1629143805 | Kendallville Chiropractic Center Inc | Chiropractor | 1229 N Lima Rd, Kendallville, IN 46755 | 2006-11-22 |
| 1841307139 | Theodore L Deal Jr. | Dentist | 225 Fairview Blvd, Kendallville, IN 46755 | 2006-08-24 |
| 1467469858 | David Lee Holliday | Chiropractor | 930 West North St., Kendallville, IN 46755 | 2006-08-01 |
| 1699708370 | Vincent J Coda | Podiatrist | 410 E Mitchell St, Kendallville, IN 46755 | 2006-07-08 |
| Find all providers in zip 46755 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326456302 | Laura Silver | Nurse Practitioner | 410 N Sawyer Rd, Kendallville, IN 46755-2572 | 2014-07-23 |
| 1154393866 | Wendy J Walmsley | Nurse Practitioner | 420 N Sawyer Rd, Kendallville, IN 46755-2572 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1578162459 | Kourtney Marie Terry | Nurse Practitioner | 128 Miner Rd, Avilla, IN 46710-9690 | 2020-10-21 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1730788720 | Camille Mae Carl | Nurse Practitioner | 6441 Anna Louise Dr, Charlestown, IN 47111-8797 | 2020-10-20 |
| 1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
| 1144828799 | Mina Desai-patel | Nurse Practitioner | 14698 Drayton Dr, Noblesville, IN 46062-8230 | 2020-10-15 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | KENDALLVILLE |
| Zip Code | 46755 |
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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.