MARISOL JACKSON (NPI# 1972135119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972135119 |
| Entity Type | Individual |
| Full Name | MARISOL JACKSON |
| Practice Address |
150 Muir Rd Martinez CA 94553-4668 |
| Mailing Address |
101 El Bonito Way Benicia CA 94510-2216 |
| Practice Telephone | 9253722000 |
| Mailing Telephone | 7072462440 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95012702 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
150 MUIR RD |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-4668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740262872 | Christine Melanie Leyba | Psychiatry & Neurology | 150 Muir Rd, Martinez, CA 94553-4668 | 2005-11-15 |
| 1033728852 | Khai Nguyen | Pharmacist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-07-28 |
| 1043835226 | Melissa Nagel | Registered Nurse | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-06-12 |
| 1316560618 | Katie Chan | Pharmacist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-05-20 |
| 1477176782 | John Widenmann | Recreation Therapist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-05-20 |
| 1437787686 | Irwin Beltran Lorico | Nurse Practitioner | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-03-31 |
| 1689200016 | Sandy Lwi | Psychologist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-03-17 |
| 1346874120 | Adam Yumang | Registered Nurse | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-03-02 |
| 1336770312 | Morayo Olatunbosun | Nurse Practitioner | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-01-29 |
| 1760022545 | Nigina Ali | Pharmacist | 150 Muir Rd, Martinez, CA 94553-4668 | 2020-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435203 | Neo Women's Health | Nurse Practitioner | 3707 King Rd, Martinez, GA 30907-2352 | 2020-10-21 |
| 1780233932 | Sharon Harris | Nurse Practitioner | 1218 Center Ave, Martinez, CA 94553-4704 | 2019-09-10 |
| 1326512732 | Tanya Lynn Mims | Nurse Practitioner | 4106 Columbia Rd Ste 103, Martinez, GA 30907-1482 | 2019-01-18 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1629525969 | Jeremy Leaf | Nurse Practitioner | 4050 Oregon Trl, Martinez, GA 30907-3383 | 2016-09-03 |
| 1619318201 | George Naylor IIi | Nurse Practitioner | 463 Windtree Pl, Martinez, GA 30907-2639 | 2013-07-11 |
| 1720328487 | Karen Loraine Weiss | Nurse Practitioner | 1146 Delacy Ave, Martinez, CA 94553-2910 | 2013-02-18 |
| 1669644811 | Gisela Brunskill | Nurse Practitioner | 150 Muir Rd. ( Mail Stop 111c), Va Outpatient Clinic, Martinez, CA 94553-4668 | 2008-03-27 |
| 1205970357 | Rose Marie Donnelly | Nurse Practitioner | 1215 Castro St, Martinez, CA 94553-2325 | 2007-02-19 |
| 1477164051 | Benilda Oliquino | Nurse Practitioner | 50 Douglas Dr, Martinez, CA 94553-4098 | 2020-08-16 |
| Find all providers in MARTINEZ | ||||
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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.