CHERYL JACKSON (NPI# 1053431817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053431817 |
| Entity Type | Individual |
| Full Name | CHERYL JACKSON |
| Credential | CNP |
| Practice Address |
3980 John R Detroit MI 48201 |
| Mailing Address |
3980 John R Hut Peds Detroit MI 48201 |
| Practice Telephone | 8883622500 |
| Mailing Telephone | 3137456969 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704140782 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598052060 | Cheryl Jackson | Registered Nurse | 2001 Begole St, Flint, MI 48504-3197 | 2011-07-06 |
| 1013220268 | Cheryl Jackson | Nurse Practitioner | 5002 S Lake Houston Pkwy Ste 7, Houston, TX 77049-2631 | 2010-07-16 |
| 1285811273 | Cheryl Lynn Jackson | Spec/Tech, Cardiovascular | 20039 Oakwood Dr, Mokena, IL 60448-1397 | 2008-01-22 |
| 1548478217 | Cheryl R Jackson | Specialist/Technologist | 5243 Dalewood Dr, Cross Lanes, WV 25313-1748 | 2007-05-18 |
| 1144262288 | Cheryl A Jackson | Internal Medicine | 5901 Market St, Philadelphia, PA 19139-3117 | 2006-06-12 |
| 1831165166 | Cheryl Anne Jackson | Physician Assistant | 401 Shickshinney Lake Road, Huntington Mills, PA 18622-0046 | 2006-02-27 |
| 1467964320 | Cheryl Jackson | Counselor | 1341 N Cashua Dr, Florence, SC 29501-6939 | 2017-11-01 |
| 1851755243 | Cheryl Lynn Jackson | Occupational Therapist | 3057 Lorna Rd Ste 220, Birmingham, AL 35216-4518 | 2016-04-11 |
| 1508233081 | Cheryl Jackson | Community Health Worker | 1125 W 6th St, 103, Los Angeles, CA 90017-1833 | 2015-08-31 |
| 1366787806 | Cheryl Gwendolyn Jackson | Occupational Therapist | 680 S 4th St, Louisville, KY 40202-2407 | 2012-12-11 |
| Street Address |
3980 JOHN R |
| City | DETROIT |
| State | MI |
| Zip Code | 48201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326168188 | Mary Ibe | Obstetrics & Gynecology | 3980 John R, Detroit, MI 48201 | 2007-03-29 |
| 1962067272 | Jessica Leah Rausch | Student in an Organized Health Care Education/Training Program | 3980 John R, 7-brush N, Mb#165, Detroit, MI 48201 | 2019-05-02 |
| 1881917268 | Kathleen Pilecki | Registered Nurse | 3980 John R, Hutzel Women's Hospital, Detroit, MI 48201 | 2010-03-12 |
| 1922215961 | Tinnakorn Chaiworapongsa | Obstetrics & Gynecology | 3980 John R, Hutzel Women's Hospital, Detroit, MI 48201-2018 | 2007-05-17 |
| 1003935818 | Kathleen Mclaughlin | Nurse Practitioner | 3980 John R, Detroit, MI 48201 | 2007-03-29 |
| 1114046927 | Julie Mckinley | Advanced Practice Midwife | 3980 John R, Detroit, MI 48201 | 2007-03-29 |
| 1013036839 | Roberto Romero | Obstetrics & Gynecology | 3980 John R, Detroit, MI 48201 | 2007-03-29 |
| 1063531895 | Bonnie Schoettle | Nurse Practitioner | 3980 John R, Detroit, MI 48201 | 2007-03-29 |
| 1386764124 | Keith Vansen | Physician Assistant | 3980 John R, Detroit, MI 48201 | 2007-03-29 |
| 1568582310 | Linda Grundy | Nurse Practitioner | 3980 John R, Detroit, MI 48201 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376913822 | Michael J. Mooney | Nurse Practitioner | 3901 Beaubien, 3rd Floor Carl's Bldg,, #3g32, Children's Hospital of Mi, Detroit, MI 48201-2153 | 2015-09-28 |
| 1295079895 | Mia Love | Nurse Practitioner | 2959 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2012-11-20 |
| 1164773099 | Fatima Mays | Nurse Practitioner | 5020 Cadieux, Detroit, MI 48224-2153 | 2012-10-02 |
| 1891027173 | Ruth Alma Roeder | Nurse Practitioner | 3901 Beaubien 3rd Floor Main Bldg, Children's Hospital of Mi, Detroit, MI 48201 | 2010-02-11 |
| 1265584171 | April K Morris | Nurse Practitioner | 3901 Beaubien - Er Dept, Children's Hospital of Mi, Detroit, MI 48201 | 2007-01-18 |
| 1336299767 | Patricia Sue Beierwaltes | Nurse Practitioner | Children's Hospital of Michigan, 3901 Beaubien Blvd., Detroit, MI 48201 | 2007-01-10 |
| 1508921388 | Tina Marcia Almanza | Nurse Practitioner | 1903 Wilkins St, Detroit, MI 48207-2112 | 2006-12-22 |
| 1871656629 | Sylvia Lou Smith | Nurse Practitioner | 8820 Woodrow Wilson St, Hutchins Health Center (henry Ford Health System), Detroit, MI 48206-2216 | 2006-12-19 |
| 1194762195 | Heather L Bartlett | Nurse Practitioner | 3950 Beaubien, Childrens Hospital of Mi, Detroit, MI 48201 | 2006-05-31 |
| 1033188099 | Cathy Patty-resk | Nurse Practitioner | Children's Hospital of Mi, 3950 Beaubien, Detroit, MI 48201 | 2006-03-14 |
| Find all providers in DETROIT | ||||
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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.