MARISHA JACKSON


Address: 1261 Kenmore Pl, Nashville, TN 37216-3214
Phone: 6158013495

MARISHA JACKSON (NPI# 1144608977) 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) 1144608977
Entity Type Individual
Full Name MARISHA JACKSON
Practice Address 1261 Kenmore Pl
Nashville
TN 37216-3214
Practice Telephone 6158013495
Mailing Telephone 6158013495
Enumeration Date 2015-05-13
Last Update Date 2015-05-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
TN Behavioral Health & Social Service Providers

Office Location

Street Address 1261 KENMORE PL
City NASHVILLE
State TN
Zip Code 37216-3214

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1639546187 United Neighborhood Health Services, Inc. Clinic/Center 3904 Gallatin Pike, Nashville, TN 37216 2015-08-31
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1417147745 Paula C Harris Registered Nurse 1015 East Trinity Ln, East Health Clinic, Nashville, TN 37216 2007-08-01
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346863487 Marleen Sylvia Mcclure Counselor 512 Old Hickory Blvd Apt 2817, Nashville, TN 37209-6110 2020-05-23
1265066674 Margaret Karen Moran Counselor 45a Rutledge St, Nashville, TN 37210-2042 2020-02-24
1992354120 Mike Moody Counselor 165 Belle Forest Cir Ste A, Nashville, TN 37221-2174 2019-09-10
1497300875 Robert E Kent Counselor 417 Parmley Ln, Nashville, TN 37207-2614 2019-08-02
1306313101 Karlton S Bolton Counselor 45 Rutledge St, Nashville, TN 37210-2042 2018-10-30
1710460795 Samantha Catherine Beretta Counselor 1710 17th Ave S, Nashville, TN 37212 2018-09-14
1942502273 Alcohol and Drug Council of Middle Tennessee Counselor 1704 Charlotte Ave, Suite 200, Nashville, TN 37203-2972 2010-11-18
1477785558 Sarah Beth Rodgers Counselor 2621 Gallatin Pike, Nashville, TN 37216-3743 2009-08-21
1275719312 Battle Enterprises, Inc Counselor 4100 Clarksville Pike, Nashville, TN 37218-1902 2008-01-19
1184808115 Deborah Osborne Counselor 2600 Hillsboro Pike, Apt 353, Nashville, TN 37212-5605 2007-12-27
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Competitor

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City NASHVILLE
Zip Code 37216

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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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