MRS. GERTIE LOU JACKSON (NPI# 1952967408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952967408 |
| Entity Type | Individual |
| Full Name | MRS. GERTIE LOU JACKSON |
| Practice Address |
315 Tram Rd Mount Olive NC 28365-6436 |
| Practice Telephone | 2525501150 |
| Mailing Telephone | 2525501150 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 05 | 05 |
| Street Address |
315 TRAM RD |
| City | MOUNT OLIVE |
| State | NC |
| Zip Code | 28365-6436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782709 | Courtney Bullard Conn | Dentist | 315 Hwy 55, Mount Olive, NC 28365 | 2020-08-28 |
| 1740836485 | Brittany Leigh Spence | Nurse Practitioner | 325 Nc-55 West, Mt Olive, NC 28365 | 2019-08-16 |
| 1265859847 | Lisa B Ezzell-weeks | Pharmacist | 308 Nc 55 West, Mount Olive, NC 28365 | 2014-03-21 |
| 1962844720 | Terry Louise Price | Counselor | 110 Sw Center Street, Mount Olive, NC 28365 | 2013-07-22 |
| 1396089173 | Karen Lane | Physical Therapy Assistant | 2221 Nc 55 Eas5t, Mount Olive, NC 28365 | 2012-11-19 |
| 1760726475 | Sundance | Skilled Nursing Facility | 228 Smith Chapel Road, Mount Olive, NC 28365 | 2012-11-19 |
| 1356633531 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1103 N Breazeale Ave, Mount Olive, NC 28365 | 2011-05-06 |
| 1780995175 | Darren Edward Stevens | Pharmacist | 308 Nc 55w, Mount Olive, NC 28365 | 2010-06-30 |
| 1760719348 | Hana Kim | Physician Assistant | 325 Nc Highway 55 West, Mount Olive, NC 28365 | 2009-11-03 |
| 1376684696 | Michelle E Honeycutt | Speech-Language Pathologist | 429 Hwy E, Mt Olive, NC 28365 | 2007-02-09 |
| Find all providers in zip 28365 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901571 | Kathy Robinson | Driver | 1510 Benjamin Pkwy Apt F, Greensboro, NC 27408-4617 | 2020-11-01 |
| 1033726823 | Ron Hines | Driver | 249 Norman Shoaf Rd, Winston Salem, NC 27107-7400 | 2020-09-26 |
| 1407462799 | Shanice Gibbs | Driver | 1934 Longleaf Ln, Greenville, NC 27858-9049 | 2020-09-22 |
| 1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
| 1598375479 | Cierra N Dail | Driver | 1806 N Herritage St, Kinston, NC 28501-2216 | 2020-08-05 |
| 1588274633 | Keila Rodriguez | Driver | 2642 Green Heron Dr, Fayetteville, NC 28306-3580 | 2020-08-04 |
| 1437768355 | Joselyn Hillmon | Driver | 201 New Bridge St Ste 107, Jacksonville, NC 28540-4736 | 2020-07-27 |
| 1225655897 | Omar S Williams | Driver | 212 Academy Dr, Greenville, NC 27834-8775 | 2020-06-30 |
| 1992328124 | Tori Wentz | Driver | 7137 Badenoch Ct, Charlotte, NC 28217-3483 | 2020-05-21 |
| 1043832561 | Grayjones Courier Logistics LLC | Driver | 8119 Bella Vista Ct, Charlotte, NC 28216-2003 | 2020-05-07 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT OLIVE |
| Zip Code | 28365 |
Please comment or provide details below to improve the information on MRS. GERTIE LOU 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.