MRS. CHRISTINE STEVENS JACKSON (NPI# 1114286150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114286150 |
| Entity Type | Individual |
| Full Name | MRS. CHRISTINE STEVENS JACKSON |
| Practice Address |
161 Liberty St Mc Clellanville SC 29458-9721 |
| Practice Telephone | 8432309297 |
| Mailing Telephone | 8432309297 |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
1600 | MT | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447735774 | Christine A Jackson | Driver | 2791 Burri Ter, North Port, FL 34288-6337 | 2018-10-02 |
| 1366952947 | Christine Jackson | Massage Therapist | 5103 N 10th St, Mcallen, TX 78504-2835 | 2017-10-09 |
| 1881049260 | Christine Jackson | Social Worker | 9115 Warwick, Detroit, MI 48228 | 2016-05-04 |
| 1275773665 | Christine Denise Jackson | Nurse Practitioner | 324 Courthouse Sq, Bay Minette, AL 36507-4809 | 2009-02-25 |
| 1114087996 | Christine Jackson | Family Medicine | 65 East 100 North, Gunnison, UT 84634-0759 | 2006-12-11 |
| 1861476889 | Christine Jackson | Internal Medicine | 162 W Central Ave, Eagar, AZ 85925-9707 | 2005-12-02 |
| 1164040515 | Christine Elizabeth Jackson | Obstetrics & Gynecology | 7710 Mercy Rd Ste 602, Omaha, NE 68124-2371 | 2020-07-13 |
| 1437628252 | Christine Jackson | Behavior Technician | 1100 Melody Ln Ste 111, Roseville, CA 95678-5204 | 2018-11-21 |
| 1689129322 | Christine Jackson | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2016-08-23 |
| 1790142289 | Christine Jackson | Registered Nurse | 3020 Bailey Ave, Buffalo, NY 14215-2814 | 2016-01-28 |
| Street Address |
161 LIBERTY ST |
| City | MC CLELLANVILLE |
| State | SC |
| Zip Code | 29458-9721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588061865 | Debra Elizabeth Erich | Nurse Practitioner | 580 Romain Road, Mcclellanville, SC 29458 | 2014-12-02 |
| 1558480764 | Sandra Reid Bigelow | Dentist | 832 Pinckney St., Mcclellanville, SC 29458 | 2007-03-28 |
| 1578620084 | Mcclellanville Pharmacy Inc. | Pharmacy | 10035 Highway 17 North, Mcclellanville, SC 29458 | 2007-01-03 |
| 1750320305 | Joseph Deer Thomas Jr. | Emergency Medicine | 606 R Pinckney Street, Mc Clellanville, SC 29458 | 2006-06-06 |
| 1881012904 | Roper Saint Francis Physicians Network | Family Medicine | 631 Venning St, Mc Clellanville, SC 29458 | 2014-04-05 |
| 1073684585 | Patricia A Quinlan | Nurse Practitioner | 1189 Tibwin Road, Mcclelanville, SC 29458 | 2006-11-13 |
| 1457416687 | Gail J Guzzo | Pharmacist | 815 Pinckney Street, Mcclellanville, SC 29458-0368 | 2006-12-27 |
| 1598830598 | James E. Fulcher | Family Medicine | 631 Venning St, Mc Clellanville, SC 29458-0699 | 2006-11-22 |
| 1366767683 | St. James-santee Family Health Center Inc. | Clinic/Center | 8900 N Highway 17, Mc Clellanville, SC 29458-7408 | 2010-03-30 |
| 1467897157 | Isla Ruth Merritt | Registered Nurse | 8900 N Highway 17, Mc Clellanville, SC 29458-7408 | 2013-05-08 |
| Find all providers in zip 29458 | ||||
| Taxonomy Code | 246RM2200X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Medical Laboratory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710345186 | Gregory Pelkey | Technician, Pathology | 1010 Fiall St, Charleston, SC 29407-6130 | 2016-02-01 |
| 1093146193 | Christopher James Cooper | Technician, Pathology | 109 Wheeler Rd, Summerville, SC 29483-1966 | 2013-11-28 |
| 1700070885 | Joan M Britt | Technician, Pathology | 103 Quail Dr, Spartanburg, SC 29302-3219 | 2007-08-31 |
| 1639373442 | Laurie Simmons-carter | Technician, Pathology | 325 Marymeade Dr, Apt 301, Summerville, SC 29483-5244 | 2007-06-14 |
| City | MC CLELLANVILLE |
| Zip Code | 29458 |
Please comment or provide details below to improve the information on MRS. CHRISTINE STEVENS JACKSON.
| 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.