MS. PAMELA KENNA JACKSON


Address: 22 Hope Ln, Elizabethport, NJ 07206-1833
Phone: 9084699312

MS. PAMELA KENNA JACKSON (NPI# 1013482439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013482439
Entity Type Individual
Full Name MS. PAMELA KENNA JACKSON
Practice Address 22 Hope Ln
Elizabethport
NJ 07206-1833
Practice Telephone 9084699312
Mailing Telephone 2012842307
Enumeration Date 2018-10-12
Last Update Date 2018-10-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver Other Service Providers

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1518141704 Pamela L. Jackson Counselor 190 Marchand Dr, Apartment 1, Westover, WV 26501-3895 2007-12-24
1356464309 Pamela Sue Jackson Music Therapist 1540 Colorado Ave, Canon City, CO 81212-4511 2007-04-06
1467522250 Pamela Sue Jackson Social Worker 17 W Water St, Pinckneyville, IL 62274-1027 2006-11-08
1699851931 Pamela Taylor Jackson Nurse Practitioner 226 Louisiana Ave, Opelousas, LA 70570-3346 2006-10-30
1568558096 Pamela S Jackson Registered Nurse 3299 Tower Rd, Newburgh, IN 47630-8301 2006-10-04

Office Location

Street Address 22 HOPE LN
City ELIZABETHPORT
State NJ
Zip Code 07206-1833

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235791310 Mars Premier Care LLC Day Training, Developmentally Disabled Services 210 Monsignor Kemezis Place, Elizabeth, NJ 07206 2019-06-28
1588151898 Kathleen Michelle Dewyke Psychiatry & Neurology 654 East Jersey St, Residency Program, Elizabeth, NJ 07206 2018-04-23
1043501265 Kathreen Tharwat Tadrous Psychiatry & Neurology 655 E. Jersey Sreet, Trinitas Regional Medical Center, Elizabeth, NJ 07206 2011-04-21
1558683987 Susan Nestler Wohlgemuth Counselor 654 East Jersey St., Trinitas Hospital, Elizabeth, NJ 07206 2010-02-26
1053540807 Krista Shea Hasenfus Social Worker 655 East Jersey Street, Elizabeth, NJ 07206 2009-07-14
1396940193 Danielle Pompey Social Worker 655 East Jersey Stereet, Dept. Behavioral Health & Psychiatry, Elizabeth, NJ 07206 2007-06-20
1114138757 Trinitas Regional Medical Center Psychiatric Unit 655 Livingston Avenue, Trinitas Hiv Clinc, Elizabeth, NJ 07206 2007-05-25
1376661264 Patricia F. Traynham Registered Nurse New Point Campus, 655 East Jersey Avenue, Elizabeth, NJ 07206 2007-03-27
1629165204 Trinitas Regional Medical Center General Acute Care Hospital 655 E Jersey Street, Youth Case Management, Elizabeth, NJ 07206 2006-10-06
1184719312 Trinitas Regional Medical Center General Acute Care Hospital 655 E. Jersey Street, Residential Services, Elizabeth, NJ 07206 2006-10-04
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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679186316 Atif Y Hamdan I Driver 40 Gifford Ave Bsmt 2, Jersey City, NJ 07304-4900 2020-08-24
1518586254 Angel Haynes Driver 457 Millbridge Rd, Clementon, NJ 08021-5542 2020-04-13
1134752769 A1 Checker Medical Transport Inc Driver 671 King George Rd Ste 9, Fords, NJ 08863-1811 2020-02-21
1457996811 Ebony M Whittington Driver 220 New Hillcrest Ave, Ewing, NJ 08638-3524 2019-11-08
1184267866 Christopher Michael Ramirez Driver 214 Smith St Ste 310, Perth Amboy, NJ 08861-4334 2019-10-24
1891337424 Anthony Allen Jr. Driver 51 Looker St, Hillside, NJ 07205-2818 2019-10-15
1477103232 Mark Carson Driver 229 4th Avenue, Normandy Beach, NJ 08739-0229 2019-09-13
1437719788 Zsanae Lewis Driver 1 Main St Unit 401, Eatontown, NJ 07724 2019-06-18
1245899137 Valaida Hall Driver 27 Van Wagoner Ave, Clifton, NJ 07013-1527 2019-06-13
1952968281 Dominic Hamazh Crawford Driver 326 1/2 S 11th St, Newark, NJ 07103-1956 2019-05-22
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Competitor

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City ELIZABETHPORT
Zip Code 07206

Improve Information

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Dataset Information

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.

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