JENNIFER A JACKSON (NPI# 1962853101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962853101 |
| Entity Type | Individual |
| Full Name | JENNIFER A JACKSON |
| Credential | BSN, RN, CDE |
| Practice Address |
1506 Crown Dr Kirksville MO 63501-2553 |
| Mailing Address |
1416 Crown Dr Kirksville MO 63501-2548 |
| Practice Telephone | 6606274493 |
| Practice Fax Number | 6606274288 |
| Mailing Telephone | 6606275757 |
| Mailing Fax Number | 6606275802 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
2010022790 | MO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386738 | Jennifer O Jackson | Pharmacist | 1900 Ese Loop323, Tyler, TX 75701-8337 | 2020-11-05 |
| 1326655705 | Jennifer Nicole Jackson | Physical Therapy Assistant | 2540 Ridgeview Rd, Paris, TX 75460-3321 | 2020-09-29 |
| 1407461163 | Jennifer Jackson | Specialist/Technologist | 149 Flagstaff Dr, Bolingbrook, IL 60440-2657 | 2020-09-10 |
| 1689294829 | Jennifer K Jackson | Dietitian, Registered | 13017 Bear Dancer Trl Ne, Albuquerque, NM 87112-3726 | 2020-04-17 |
| 1285261479 | Jennifer Elizabeth Jackson | Pharmacist | 4675 W 37th Ave Apt 202, Denver, CO 80212-2079 | 2020-03-26 |
| 1487290524 | Jennifer Carol Jackson | Counselor | 76 Vassar St, Worcester, MA 01602-1535 | 2019-11-25 |
| 1275959348 | Jennifer Jackson | Dietitian, Registered | 101 Vinemont Dr, Lafayette, LA 70501-6579 | 2014-03-12 |
| 1013332535 | Jennifer Jackson | Speech-Language Pathologist | 1105 Mcmurdo Cir, Castle Rock, CO 80108-2821 | 2014-02-19 |
| 1891053526 | Jennifer Dawn Jackson | Counselor | 240 Orville Bates Ln, Estill Springs, TN 37330-4278 | 2012-05-01 |
| 1205149382 | Jennifer Lynn Lawrence Jackson | Pharmacist | 4718 Limestone Rd, Wilmington, DE 19808-1928 | 2010-07-19 |
| Street Address |
1506 CROWN DR |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316922214 | Melanie S. Grgurich | Family Medicine | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2005-12-13 |
| 1972127827 | Northeast Missouri Health Council, Inc | Dietitian, Registered | 1506 Crown Dr, Kirksville, MO 63501 | 2020-06-05 |
| 1902436850 | Amy Carroll | Health Educator | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2020-01-20 |
| 1083129167 | Keely Dyan Schoonover | Registered Nurse | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2017-12-11 |
| 1023563632 | Franchesca L Cook | Physician Assistant | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2016-08-24 |
| 1740600253 | Crystal Redman | Family Medicine | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2014-04-23 |
| 1265758395 | Shannon M Hatfield | Nurse Practitioner | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2010-04-14 |
| 1427123942 | Kelly Mcdermott Freeland | Nurse Practitioner | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2006-11-21 |
| 1528031770 | Joseph W Novinger | Family Medicine | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2006-02-08 |
| 1720064413 | Margaret Wilson | Family Medicine | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2005-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351393 | Jacqueline S Futrell | Registered Nurse | 3660 Vista Ave Ste 204, Saint Louis, MO 63110-2540 | 2020-06-24 |
| 1174150312 | Ramona Rae Dachroeden | Registered Nurse | 1701 E Broadway Ste 102, Columbia, MO 65201-8029 | 2020-03-26 |
| 1437703204 | Bertagnolli Medciation Services | Registered Nurse | 1008 W 93rd St, Kansas City, MO 64114-3216 | 2019-07-30 |
| 1487139234 | Schnuck Markets Inc | Registered Nurse | 100 Jungermann Rd, Saint Peters, MO 63376-1608 | 2018-09-27 |
| 1568947315 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 2183 Charbonier Rd, Florissant, MO 63031-5500 | 2018-09-27 |
| 1447735295 | Schnuck Markets Inc | Registered Nurse | 1421 Mexico Loop Rd E, O Fallon, MO 63366-6017 | 2018-09-27 |
| 1467937201 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 9070 St. Charles Rock Rd, St. Louis, MO 63114-4246 | 2018-09-27 |
| 1356826200 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 500 Us Highway 50 W, Union, MO 63084-1938 | 2018-09-26 |
| 1154800241 | Schnuck Markets Inc | Registered Nurse | 11550 Page Service Dr Ste 101a, Saint Louis, MO 63146-3531 | 2018-08-09 |
| 1205189024 | Missouri Cvs Pharmacy, L.L.C. | Registered Nurse | 2511 Kehrs Mill Rd, Chesterfield, MO 63017-7358 | 2012-10-17 |
| Find all providers with the same taxonomy | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
Please comment or provide details below to improve the information on JENNIFER A 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.