NICOLE JACKSON (NPI# 1124299680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124299680 |
| Entity Type | Individual |
| Full Name | NICOLE JACKSON |
| Practice Address |
1830 Southern Pkwy Springfield OH 45506-3115 |
| Practice Telephone | 9373607925 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 122408 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184689 | Nicole Jackson | Specialist | 3983 Thunder Heights Ln, Middleburg, FL 32068-7362 | 2014-08-05 |
| 1053745521 | Nicole L Jackson | Counselor | 3394 Mckelvey Rd Ste 116, Bridgeton, MO 63044-2531 | 2013-09-02 |
| 1245569276 | Nicole Denise Jackson | Licensed Practical Nurse | 2122 Ridge Rd W, Rochester, NY 14626-2802 | 2009-12-22 |
| 1144559931 | Nicole L Jackson | Licensed Practical Nurse | 18680 Main Street, Tontogany, OH 43565 | 2009-12-08 |
| 1144489261 | Nicole L. Jackson | Counselor | 6815 W Capitol Dr Ste 304, Milwaukee, WI 53216-2056 | 2008-06-04 |
| 1578740023 | Nicole Jackson | Counselor | 3630 George Washington Hwy, Ste B-6, Yorktown, VA 23693 | 2008-01-28 |
| 1205999588 | Nicole Lewis Jackson | Dentist | 3298 Northside Dr, Macon, GA 31210 | 2006-12-18 |
| 1104447275 | Nicole Feliz Jackson | Specialist/Technologist | 1301 S Us Highway 377, Argyle, TX 76226-7744 | 2020-04-30 |
| 1023637220 | Nicole Jackson | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-04-09 |
| 1609405539 | Nicole Yvonne Jackson | Licensed Practical Nurse | 15 Frederick Ave, Akron, OH 44310-2904 | 2020-04-03 |
| Street Address |
1830 SOUTHERN PKWY |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45506-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013496520 | Rachel Anne Legg | Counselor | 15 E. Pleasant St., Springfield, OH 45506 | 2018-08-07 |
| 1144748559 | Bethany Canestraro | Speech-Language Pathologist | 431 W John St., Springfield, OH 45506 | 2017-09-06 |
| 1245782952 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 825 W Leffel Lane, Springfield, OH 45506 | 2016-10-28 |
| 1831640994 | Terri L. Muha | Speech-Language Pathologist | 631 S Yellow Springs Street, Springfield, OH 45506 | 2016-10-24 |
| 1659775633 | Deborah Brennan Chapman | Speech-Language Pathologist | 25 W. Pleasant St., Springfield, OH 45506 | 2014-10-20 |
| 1700133840 | Lemarcel M Robinson | Dentist | 233 W. Pleasant St., Springfield, OH 45506 | 2012-08-08 |
| 1770551830 | Michele Rene Noffke | Licensed Practical Nurse | 1311 W Jefferson St, Springfield, OH 45506-1219 | 2006-03-14 |
| 1346269628 | Michelle M Duncan | Speech-Language Pathologist | 1500 W Jefferson St, Springfield, OH 45506-1224 | 2006-07-18 |
| 1932756533 | Jennifer Marie Griffith | Occupational Therapist | 1500 W Jefferson St, Springfield, OH 45506-1224 | 2019-08-20 |
| 1568019214 | Kourtney Stranzin | Speech-Language Pathologist | 1500 W Jefferson St, Springfield, OH 45506-1224 | 2019-08-19 |
| Find all providers in zip 45506 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015711 | Yamira Cobb | Licensed Practical Nurse | 11 Milton St, Springfield, MA 01151-1717 | 2020-05-27 |
| 1588126783 | Sarah Chere Smith | Licensed Practical Nurse | 137 Emerald Rd, Springfield, MA 01119-2813 | 2019-04-05 |
| 1548788946 | Abigail Eller | Licensed Practical Nurse | 88321 Thienes Ln, Springfield, OR 97478-9621 | 2017-09-06 |
| 1689191009 | Tara Kelleen Foster | Licensed Practical Nurse | 531 S 41st Pl, Springfield, OR 97478-7564 | 2017-08-25 |
| 1285160937 | Carrie Decker | Licensed Practical Nurse | 1143 Long Ridge Dr, Springfield, OR 97478-8504 | 2017-05-02 |
| 1245776939 | Ruth Louden | Licensed Practical Nurse | 737 E Madison Ave, Springfield, OH 45503-3727 | 2017-01-18 |
| 1154867570 | Erin Kunigisky | Licensed Practical Nurse | 4762 Rocky Rd, Springfield, OR 97478-4924 | 2017-01-09 |
| 1104368836 | Mary Linscott | Licensed Practical Nurse | 3220 E Division St, Springfield, IL 62702-6215 | 2016-11-11 |
| 1588106264 | Christella Moore | Licensed Practical Nurse | 5806 Highbanks Rd, Springfield, OR 97478-6810 | 2016-11-10 |
| 1629428891 | Stacy Knowles | Licensed Practical Nurse | 2630 Wayside Ln, Springfield, OR 97477-1324 | 2016-06-17 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45506 |
Please comment or provide details below to improve the information on NICOLE 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.