ANDREW JAY JACKSON


Address: 125 County Road 4209, Jacksonville, TX 75766-5574
Phone: 9032841056

ANDREW JAY JACKSON (NPI# 1093279572) 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) 1093279572
Entity Type Individual
Full Name ANDREW JAY JACKSON
Practice Address 125 County Road 4209
Jacksonville
TX 75766-5574
Practice Telephone 9032841056
Mailing Telephone 9032841056
Enumeration Date 2019-01-29
Last Update Date 2019-01-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Other Providers ANDREW JACKSON

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1568591287 Andrew Lee Jackson Dentist 600 Mccranie Avenue, Willacoochie, GA 31650 2007-03-06
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1447850227 Andrew Jackson Pharmacist 3520 Hudson Dr, Stow, OH 44224-2907 2020-10-29
1528559358 Andrew Jackson Case Manager/Care Coordinator 550 W Chalmers Ave, Youngstown, OH 44511-1576 2018-05-29
1134618820 Andrew Jackson IIi Chiropractor 460 S 14th St, Midlothian, TX 76065-3514 2018-05-08
1497253835 Andrew Boyd Jackson Emergency Medicine 1459 Laney Walker Blvd, Augusta, GA 30912 2018-01-31
1285172841 Andrew Jackson General Acute Care Hospital 284 N Hospital Dr, Price, UT 84501-4233 2017-02-03
1508309055 Andrew Jackson IIi Case Manager/Care Coordinator 1401 Hudson Ln, Suite 202, Monroe, LA 71201-6068 2016-11-30
1285177253 Andrew Jackson Naturopath 12025 Lake City Way Ne Ste B, Seattle, WA 98125-5331 2016-11-23

Office Location

Street Address 125 COUNTY ROAD 4209
City JACKSONVILLE
State TX
Zip Code 75766-5574

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770062788 David Rentz Occupational Therapy Assistant 838 Brown St., Jacksonville, TX 75766 2018-08-09
1295233146 Amanda Dawn Anderson Licensed Vocational Nurse Fm 347, Jacksonville, TX 75766 2018-01-25
1467896241 Christopher Mark Sirianni Anesthesiology 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 2013-04-23
1164703047 Aegis Psychological Consulting LLC Psychologist 208 E. Rusk St., Jacksonville, TX 75766 2011-09-06
1952697872 Melissa Springmeyer Family Medicine 2026 South Jacksonville Street, Jacksonville, TX 75766 2011-06-20
1306031018 Michael Kay Moore Occupational Therapist 4155 Cr 3908, Jacksonville, TX 75766 2007-09-06
1730398827 Cherokee County Health Department Public Health or Welfare 510 East Commerce, Jacksonville, TX 75766 2007-05-22
1568689545 Mary Alice Bone Preventive Medicine 510 E. Commerce, Jacksonville, TX 75766 2007-04-19
1619093176 Assisted Living Concepts Inc Assisted Living Facility 211 Phillip Street, Jacksonville, TX 75766 2007-03-22
1265560767 Anderson Cherokee Community Enrichment Services Counselor 1011 College Ave, Jacksonville, TX 75766 2007-02-28
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Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972141224 Ami B Kowalski Technician 8161 Crosswind Rd, Jacksonville, FL 32244-5453 2019-12-17
1104462423 Geoffrey C Lane Technician 4216 Old Mill Cove Trl W, Jacksonville, FL 32277-1582 2019-11-21
1831759141 Stephanie R Forde Technician 12379 Glimmer Way, Jacksonville, FL 32219-1867 2019-06-18
1790259729 Juanita R. Cooks Technician 3224 Liberty Cir, Jacksonville, FL 32206-2101 2019-01-12
1669945606 Suzie Pennington Technician 7541 Fawn Lake Dr N, Jacksonville, FL 32256-3665 2019-01-02
1518439876 Angela Rand Technician 1710 Naldo Ave, Jacksonville, FL 32207-3138 2018-12-27
1366913394 Sandra Prince Alvey Technician 2829 Seville Ct, Jacksonville, FL 32207-4622 2018-12-17
1235600321 Angela Justina Mcdonald Technician 3047 Mikris Dr E, Jacksonville, FL 32225-7607 2018-12-16
1306317359 Lauren Renee Simao Technician 1665 Cedar Bay Rd, Jacksonville, FL 32218-4971 2018-12-16
1861976714 Tomilko Adina Burden Technician 5984 Windsor Forest Dr Apt 5, Jacksonville, FL 32210-7802 2018-09-17
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 75766

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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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