JESSICA JACKSON (NPI# 1982151130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982151130 |
| Entity Type | Individual |
| Full Name | JESSICA JACKSON |
| Practice Address |
25 Green Knolls Dr Apt D Rochester NY 14620-4777 |
| Mailing Address |
Po Box 23801 Rochester NY 14692-3801 |
| Practice Telephone | 5853622270 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 322730 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759594 | Jessica Ashley Jackson | Social Worker | 310 W Mckinley Ave, Mishawaka, IN 46545-5600 | 2020-10-28 |
| 1396387361 | Jessica Leeann Jackson | In Home Supportive Care | 2643 Portsmouth Pl, Hephzibah, GA 30815-6434 | 2019-10-11 |
| 1720638018 | Jessica Jackson | Registered Nurse | 1600 Pine Tree Rd Apt 415, Longview, TX 75604-3244 | 2019-09-18 |
| 1386106326 | Jessica Marie Jackson | Specialist/Technologist | 120 Main St Apt 217, Saco, ME 04072-3528 | 2019-04-01 |
| 1205335916 | Jessica Berdette Jackson | Licensed Practical Nurse | 376 Owego Rd, Candor, NY 13743-1645 | 2018-02-08 |
| 1023553187 | Jessica Elise Jackson | Physician Assistant | 2109 S Santa Fe Ave, Moore, OK 73160-2807 | 2016-12-28 |
| 1770940975 | Jessica Jackson | Technician, Other | 24024 Evergreen Rd Apt 108a, Southfield, MI 48075-5517 | 2016-01-20 |
| 1710344007 | Jessica Jackson | Social Worker | 4 Tufts Trl, Hopatcong, NJ 07843-1013 | 2016-01-18 |
| 1336572726 | Jessica L Jackson | Health Educator | 492 Naughright Rd, Long Valley, NJ 07853-3807 | 2013-08-20 |
| 1619216850 | Jessica Lindsay Jackson | Specialist/Technologist | 2905 River Rd, Redfield, AR 72132-9105 | 2013-02-07 |
| Street Address |
25 GREEN KNOLLS DR APT D |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-4777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1992305775 | Sharee Walker | Licensed Practical Nurse | 145 Atlantic Ave, Rochester, NY 14607-1205 | 2020-10-29 |
| 1932708401 | Tatyanna Greene | Licensed Practical Nurse | 160 Calm Lake Cir Apt C, Rochester, NY 14612-2512 | 2020-10-25 |
| 1750989158 | Toni Foster | Licensed Practical Nurse | 72 Melrose St, Rochester, NY 14619-1802 | 2020-10-16 |
| 1861090474 | Jovon C Johnson | Licensed Practical Nurse | 24 Alfie Dr, Rochester, NY 14623-3602 | 2020-10-15 |
| 1124626031 | Heavenlee Joy Henderson | Licensed Practical Nurse | 61 Farleigh Ave, Rochester, NY 14606-2007 | 2020-10-13 |
| 1245838259 | Sherree Daniella Holloway | Licensed Practical Nurse | 156 Normandy Ave, Rochester, NY 14619-1132 | 2020-10-12 |
| 1912505173 | Robin R Graham | Licensed Practical Nurse | 70 Devon Rd, Rochester, NY 14619-2402 | 2020-10-10 |
| 1568060705 | Jasmine Daja Shannay Vick | Licensed Practical Nurse | 619 Arnett Blvd, Rochester, NY 14619-1308 | 2020-10-10 |
| 1790383925 | Nikki Pickett | Licensed Practical Nurse | 118 Hazelwood Ter, Rochester, NY 14609-5133 | 2020-10-10 |
| Find all providers in ROCHESTER | ||||
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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.