DENISE JACKSON (NPI# 1982984118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982984118 |
| Entity Type | Individual |
| Full Name | DENISE JACKSON |
| Practice Address |
1704 Highway 69 Trumann AR 72472 |
| Mailing Address |
1815 Pleasant Grove Road Jonesboro AR 72401 |
| Practice Telephone | 8704834003 |
| Practice Fax Number | 8704834009 |
| Mailing Telephone | 8709336886 |
| Mailing Fax Number | 8709339395 |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736275 | Denise Jackson | Massage Therapist | 102 Arborwood Dr, Anderson, SC 29621-5865 | 2020-09-23 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1720403256 | Denise Ann Jackson | Social Worker | 1003 N Griffin Ave, Okmulgee, OK 74447-2512 | 2014-02-20 |
| 1871545772 | Denise L Jackson | Family Medicine | 10043 W Lincoln Hwy, Frankfort, IL 60423-1272 | 2006-05-17 |
| 1295732071 | Denise Serotta Jackson | Physical Therapist | Stephen W. Bassin, P.t., P.C., 32 Sherman Ave, Glen Falls, NY 12801 | 2005-07-07 |
| 1669030649 | Denise Jackson | Counselor | 200 Casentini St, Salinas, CA 93907-2299 | 2019-06-04 |
| 1669930616 | Denise Jackson | Technician | 3110 Esther Pl Se, Washington, DC 20032-1505 | 2019-03-08 |
| 1538675632 | Denise Diane Jackson | Counselor | 1545 W 25th St, Cleveland, OH 44113-3158 | 2017-12-27 |
| 1093089906 | Denise Jackson | Physical Therapy Assistant | 10300 Southwest Hwy, Chicago Ridge, IL 60415-1426 | 2012-02-24 |
| 1124263710 | Denise Ann Jackson | Specialist | 204 E Main St, Palmyra, NY 14522-1128 | 2008-12-10 |
| Street Address |
1704 HIGHWAY 69 |
| City | TRUMANN |
| State | AR |
| Zip Code | 72472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386069946 | Kelli Leanne Cole | Case Manager/Care Coordinator | 1704 Highway 69, Trumann, AR 72472 | 2014-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039980 | First Step Arkansas, LLC | Occupational Therapist | 528 Industrial Park Access Rd, Trumann, AR 72472 | 2020-06-26 |
| 1982254710 | Brent A Davis | Physical Therapist | 516 Industrial Park Access Rd, Trumann, AR 72472 | 2019-09-13 |
| 1760992911 | Lorraine Irene Devries | Technician | 1316 Industrial Acess Drive, Trumann, AR 72472 | 2017-10-02 |
| 1902326226 | Logan Michael Schmidt | Dentist | 1711 Hwy 69 Blvd, Trumann, AR 72472 | 2017-06-27 |
| 1619228830 | Daniel Edward Ward | Case Manager/Care Coordinator | 1704 Hwy, 69, Trumann, AR 72472 | 2012-09-27 |
| 1003197542 | Mashae D. Rolland | Nurse Practitioner | 808 Highway 463 N, Trumann, AR 72472 | 2011-08-29 |
| 1134410467 | Dalisha Lareece Smith | Clinical Ethicist | 1704 Hwy. 69, Trumann, AR 72472 | 2011-04-20 |
| 1164727202 | Margaret Ann Peters | Case Manager/Care Coordinator | 809 West Main Suite C, Trumann, AR 72472 | 2011-01-21 |
| 1134379357 | Jeremiah Daniel Dillehay | Counselor | 170 4 Hwy. 69, Trumann, AR 72472 | 2008-09-24 |
| 1407066939 | Pamela S Tiner | Pharmacist | Wal-mart Pharmacy Hwy 463 N, Trumann, AR 72472 | 2007-05-23 |
| Find all providers in zip 72472 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807595 | Vickie Carter | Case Manager/Care Coordinator | 1704 Highway 49 West, Trumann, AR 72472-2029 | 2020-03-23 |
| 1982161857 | Celia Bonner | Case Manager/Care Coordinator | 809 W Main St Unit C-d, Trumann, AR 72472-2611 | 2019-02-26 |
| 1619228830 | Daniel Edward Ward | Case Manager/Care Coordinator | 1704 Hwy, 69, Trumann, AR 72472 | 2012-09-27 |
| 1164727202 | Margaret Ann Peters | Case Manager/Care Coordinator | 809 West Main Suite C, Trumann, AR 72472 | 2011-01-21 |
| 1417562687 | Sydney Patton | Case Manager/Care Coordinator | 809 W Main St Ste C, Trumann, AR 72472-2634 | 2020-09-14 |
| 1023620432 | Allie Marie Hall | Case Manager/Care Coordinator | 809 W Main St Ste C, Trumann, AR 72472-2634 | 2020-08-18 |
| 1689201824 | Bianca Harris | Case Manager/Care Coordinator | 1704 Highway 69 Blvd, Trumann, AR 72472-2029 | 2020-03-26 |
| 1043864762 | Michelle Felton | Case Manager/Care Coordinator | 1704 Highway 69 Blvd, Trumann, AR 72472-2029 | 2019-07-31 |
| 1811453228 | Robert Lyles | Case Manager/Care Coordinator | 1704 Highway 69 Blvd, Trumann, AR 72472-2029 | 2019-02-11 |
| 1508331133 | Whitney Harrison | Case Manager/Care Coordinator | 809 W Main St Ste C, Trumann, AR 72472-2634 | 2018-10-10 |
| Find all providers in TRUMANN | ||||
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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.