DANIELLE JACKSON (NPI# 1033419155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033419155 |
| Entity Type | Individual |
| Full Name | DANIELLE JACKSON |
| Credential | PA-C |
| Practice Address |
1845 Satellite Blvd Nw Duluth GA 30097-5256 |
| Practice Telephone | 4047785220 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 005295 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112179 | Danielle Caitlin Jackson | Physician Assistant | 1011 Harlan St, Indianapolis, IN 46203-1318 | 2020-04-07 |
| 1295215226 | Danielle Jackson | Student in an Organized Health Care Education/Training Program | 7427 Meadow Run Ct, Mobile, AL 36619-3632 | 2018-08-20 |
| 1578914537 | Danielle Jackson | Case Manager/Care Coordinator | 2088 Carver Dr, Marrero, LA 70072 | 2016-06-30 |
| 1063879930 | Danielle Marie Jackson | Licensed Practical Nurse | 4 Hawk Nest Ln Apt 2, Wallkill, NY 12589-2630 | 2016-01-24 |
| 1033585831 | Danielle Lawanna Jackson | Registered Nurse | 213 Birkdale Dr, Daytona Beach, FL 32124-2053 | 2015-08-15 |
| 1578906905 | Danielle S Jackson | Psychiatry & Neurology | 446 E Ontario St Ste 200, Chicago, IL 60611-4418 | 2013-04-16 |
| 1841818531 | Danielle Beverly Jackson | Speech-Language Pathologist | 4501 Jackson Rd, Fredericksburg, VA 22407-6706 | 2020-07-08 |
| 1669093431 | Danielle Ashley Jackson | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave, Portland, OR 97201-5042 | 2020-05-02 |
| 1104461730 | Danielle Jackson | Pharmacist | 6181 Us Highway 431, Albertville, AL 35950-2011 | 2019-11-06 |
| 1518436559 | Danielle Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-11-20 |
| Street Address |
1845 SATELLITE BLVD NW |
| City | DULUTH |
| State | GA |
| Zip Code | 30097-5256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699396622 | Sarah Cheeney | Physician Assistant | 2803 E 8th St, Duluth, MN 55812-1518 | 2020-04-30 |
| 1144841552 | Jake L Mcgraw | Physician Assistant | 2006 N 51st Ave E, Duluth, MN 55804-1251 | 2020-04-27 |
| 1053931451 | Maggie Ferguson | Physician Assistant | 4219 Mcculloch St, Duluth, MN 55804-1934 | 2020-04-26 |
| 1174143093 | Melissa Dybvig | Physician Assistant | 825 N 43rd Ave E, Duluth, MN 55804-1939 | 2020-04-21 |
| 1033667266 | Wossen Adinew Asfaw | Physician Assistant | 3575 Koger Blvd Ste 116, Duluth, GA 30096-7559 | 2016-09-16 |
| 1629457981 | David John Willard | Physician Assistant | 4245 Pleasant Hill Rd, Duluth, GA 30096-6332 | 2015-05-20 |
| 1992065973 | Esther Maria Laucirica | Physician Assistant | 2159 Wynnton Point, Duluth, GA 30097 | 2012-05-23 |
| 1811202534 | Sharon Alston | Physician Assistant | 1580 Boggs Rd, 700, Duluth, GA 30096-1229 | 2010-08-18 |
| 1942496112 | Caroline A Woods | Physician Assistant | 32 E 1st St, Womens Health Ctr, Duluth, MN 55802 | 2007-09-20 |
| 1629174057 | Heidemarie C Watts | Physician Assistant | Department of Dermatology, 3650 Steve Reynolds Blvd, Duluth, GA 30096 | 2006-09-15 |
| Find all providers in DULUTH | ||||
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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.