MS. ELIZABETH ANN JACKSON (NPI# 1184121907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184121907 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH ANN JACKSON |
| Credential | APRN-CNS |
| Practice Address |
1 S Bryant Ave Edmond OK 73034-6398 |
| Mailing Address |
105 S Bryant Ave Ste 101 Edmond OK 73034-6330 |
| Practice Telephone | 4053239744 |
| Mailing Telephone | 4056223063 |
| Mailing Fax Number | 8556808890 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2020-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364S00000X | Clinical Nurse Specialist | 00085963 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
00085963 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743287 | Elizabeth Jane Jackson | Physical Therapist | 2241 Great Rock Rd, Vestavia Hills, AL 35216-2121 | 2020-09-06 |
| 1477018588 | Elizabeth C Jackson | Counselor | 13300 W 6th Ave # 22a, Lakewood, CO 80228-1255 | 2019-02-02 |
| 1619413861 | Elizabeth Marie Jackson | Nurse Practitioner | 123 Brooke Ln Ne, Cleveland, TN 37312-7416 | 2017-01-12 |
| 1699130245 | Elizabeth Grace Jackson | Counselor | Philhaven 283 Butler Road, Mt Gretna, PA 17064 | 2015-12-28 |
| 1649694233 | Elizabeth Arlene Jackson | Counselor | 922 12th St, Rawlins, WY 82301-6517 | 2014-02-18 |
| 1477882272 | Elizabeth Wood Jackson | Psychologist | 122 Saint Marys St, Raleigh, NC 27605-1809 | 2009-12-08 |
| 1104091784 | Elizabeth A Jackson | Specialist | 94 Auburn St Ste 106, Portland, ME 04103-2141 | 2008-04-24 |
| 1801095898 | Elizabeth Osborne Jackson | Dentist | 317 Rosewood St, Irondale, AL 35210-3116 | 2007-07-11 |
| 1295834893 | Elizabeth Marie Jackson | Physician Assistant | 515 Wekiva Commons Circle, Apopka, FL 32712 | 2006-09-21 |
| 1902420466 | Elizabeth Detweiler Jackson | Registered Nurse | 42 Town St Ste 300, Norwich, CT 06360-2339 | 2020-06-01 |
| Street Address |
1 S BRYANT AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-6398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588655070 | Monica Esparza | Nurse Practitioner | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2005-11-02 |
| 1154962546 | Elizabeth Ann Powell | Registered Nurse | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2019-10-07 |
| 1346716776 | Tiffany Ruth Lenhart | Physician Assistant | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2018-10-24 |
| 1932610383 | Stephanie Nicole Beasley | Nurse Practitioner | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-10-12 |
| 1609386010 | Leah Lynnette Emerson | Physical Medicine & Rehabilitation | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-10-11 |
| 1801306642 | Tresa Dorman | Registered Nurse | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-10-06 |
| 1619487923 | Tristar Healthcare Inc | Internal Medicine | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-10-02 |
| 1609390111 | Ou Medicine Inc. | Psychiatric Unit | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-07-27 |
| 1033562673 | Scott Nicholson | Physician Assistant | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2016-07-19 |
| 1326426511 | Morgan Leigh Cooper | Dietitian, Registered | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2015-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 364SA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699396606 | Larissa Lynn Knippers | Clinical Nurse Specialist | 4700 Nw 151st Ter, Edmond, OK 73013-1780 | 2020-04-30 |
| 1528408937 | Regina Maria Wheeler | Clinical Nurse Specialist | 2000 E 15th St, Suite 400, Edmond, OK 73013-6697 | 2013-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245705318 | Krystal Parmar | Clinical Nurse Specialist | 4000 S Bryant Ave, Moore, OK 73160-7704 | 2018-10-04 |
| 1023415841 | Suzanne Kirby | Clinical Nurse Specialist | 1145 S Utica Ave Ste 1105, Tulsa, OK 74104 | 2014-11-21 |
| 1952713745 | Daphne Burnett | Clinical Nurse Specialist | 125 E Mesa Verde St, Yukon, OK 73099-5932 | 2014-05-28 |
| 1699064535 | Rachelle Lynn Burleson | Clinical Nurse Specialist | 1218 W Willow Rd, Suite A, Enid, OK 73703-2533 | 2011-03-31 |
| 1285838581 | Lisa Rudolph | Clinical Nurse Specialist | 1000 North Lee, Oklahoma City, OK 73101-1036 | 2007-06-12 |
| 1063637130 | Rise Lynne Kester | Clinical Nurse Specialist | 1000 Hospital Cir, Kingfisher, OK 73750-5002 | 2007-04-16 |
| 1538777552 | Kallie Danielle Garrett | Clinical Nurse Specialist | 10505 E 91st St, Tulsa, OK 74133-5801 | 2020-07-15 |
| 1164050258 | Regina M Ketts | Clinical Nurse Specialist | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2020-04-01 |
| 1518591122 | Lauren Amber Dankwa | Clinical Nurse Specialist | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2020-02-24 |
| 1477193217 | Tamara Myree Harris | Clinical Nurse Specialist | 3400 Nw Expressway Ste 200, Oklahoma City, OK 73112-4491 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
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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.