FELISA LOYD JACKSON (NPI# 1982243085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982243085 |
Entity Type | Individual |
Full Name | FELISA LOYD JACKSON |
Practice Address |
875 Union Ave Rm C402 Memphis TN 38103-3513 |
Practice Telephone | 9012704680 |
Mailing Telephone | 9012704680 |
Enumeration Date | 2020-01-06 |
Last Update Date | 2020-01-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 004948 | TN | Dental Providers |
Street Address |
875 UNION AVE RM C402 |
City | MEMPHIS |
State | TN |
Zip Code | 38103-3513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
Find all providers in zip 38103 |
Taxonomy Code | 124Q00000X |
Grouping | Dental Providers |
Classification | Dental Hygienist |
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669011805 | Kimbra W Humerickhouse | Dental Hygienist | 875 Union Ave # C517, Memphis, TN 38103-3513 | 2020-01-06 |
1124667530 | Rachel Elizabeth Hamilton | Dental Hygienist | 875 Union Ave Ste C402, Memphis, TN 38103-3513 | 2020-01-02 |
1780223271 | Michelle D. Miles | Dental Hygienist | 875 Union Ave # N502, Memphis, TN 38103-3513 | 2019-12-31 |
1033758792 | Amy E Galyen | Dental Hygienist | 5565 Murray Ave Ste 101, Memphis, TN 38119-3828 | 2019-12-29 |
1861041097 | Kashaundra Atkinson | Dental Hygienist | 4515 Poplar Ave Ste 406, Memphis, TN 38117-7508 | 2019-09-10 |
1639651052 | Angela Renae Haynes | Dental Hygienist | 875 Union Ave Dunn Dental Bldg C 517, Memphis, TN 38163 | 2018-09-01 |
1376866988 | Dominique Latasha Terry | Dental Hygienist | 2595 Central Avenue, Christ Community Health Services Inc, Memphis, TN 38104 | 2010-03-10 |
1871129361 | Michaela Mitchell | Dental Hygienist | 5366 Winchester Rd, Memphis, TN 38115-4565 | 2020-03-17 |
1700425840 | Danita Jo Adams | Dental Hygienist | 875 Union Ave # C517, Memphis, TN 38103-3513 | 2020-01-06 |
1134768617 | Deborah Kay Rose | Dental Hygienist | 875 Union Ave, Memphis, TN 38103-3513 | 2019-12-31 |
Find all providers in MEMPHIS |
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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.