MRS. DEANNA LOUISE JACKSON (NPI# 1184911943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184911943 |
| Entity Type | Individual |
| Full Name | MRS. DEANNA LOUISE JACKSON |
| Other Name | MISS DEANNA LOUISE WILLIAMS |
| Credential | CRNP |
| Practice Address |
1169 Jefferson Ave Memphis TN 38104-7217 |
| Mailing Address |
12900 Park Plaza Dr Ste 150 Cerritos CA 90703-9329 |
| Practice Telephone | 9014251880 |
| Mailing Telephone | 5626222800 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
16920 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053731703 | Deanna Jackson | Registered Nurse | 3025 Hampshire Rd, Cleveland Heights, OH 44118-1661 | 2014-04-21 |
| 1386743854 | Deanna R Jackson | Massage Therapist | 243 Hartford Tpk #202, Vernon, CT 06066 | 2006-09-21 |
| 1952859175 | Deanna Jackson | Nurse Practitioner | 2615 Gault Ave N, Fort Payne, AL 35967-3728 | 2016-09-16 |
| 1174801930 | Deanna Lynn Jackson | Optometrist | 402 Avery St, Parkersburg, WV 26101-5329 | 2011-07-28 |
| 1295918175 | Deanna Lynn Jackson | Prosthetic/Orthotic Supplier | 1926 S Court St, Visalia, CA 93277-5426 | 2007-12-13 |
| Street Address |
1169 JEFFERSON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-7217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083695688 | Heather R Swanson | Internal Medicine | 1169 Jefferson Ave, Memphis, TN 38104-7217 | 2005-11-10 |
| 1679111967 | Brittanay Moore | Social Worker | 1169 Jefferson Ave, Memphis, TN 38104-7217 | 2019-12-17 |
| 1841634649 | Dana Lynn Sanders | Internal Medicine | 1169 Jefferson Ave, Memphis, TN 38104 | 2013-04-23 |
| 1497098610 | Farhad Modarai | Family Medicine | 1169 Jefferson Ave, Memphis, TN 38104-7217 | 2013-04-05 |
| 1568738649 | Sandeep Palakodeti | Internal Medicine | 1169 Jefferson Ave, Memphis, TN 38104-7217 | 2012-03-22 |
| 1811299514 | Christian Counseling and Consulting, LLC | Social Worker | 1169 Jefferson Ave, Memphis, TN 38104-2221 | 2010-12-01 |
| 1730404377 | Jewel Arrie Harris | Family Medicine | 1169 Jefferson Ave, Memphis, TN 38104-7217 | 2010-04-06 |
| 1639313208 | Jaclyn Beaghan Bergeron | Internal Medicine | 1169 Jefferson Ave, Memphis, TN 38104-7217 | 2009-04-27 |
| 1871746800 | Cheryl Denise Givens | Internal Medicine | 1169 Jefferson Ave, Memphis, TN 38104-7217 | 2008-11-04 |
| 1619140209 | Gregory Lance Phelps Jr. | Internal Medicine | 1169 Jefferson Ave, Memphis, TN 38104 | 2008-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1245837533 | Sandra Dee Garrison | Nurse Practitioner | 335 Lillian Dr, Memphis, TN 38109-4431 | 2020-10-08 |
| 1972119527 | Oneka E Poindexter | Nurse Practitioner | 86 N Rembert St, Memphis, TN 38104-2766 | 2020-09-18 |
| 1295346260 | Jimarie Nelson | Nurse Practitioner | 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 | 2020-08-13 |
| 1346869187 | Tollaria Williams | Nurse Practitioner | 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 | 2020-04-12 |
| 1497388912 | Michelle Denise Jones | Nurse Practitioner | 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 | 2020-02-13 |
| 1336781657 | J Wilson Health LLC | Nurse Practitioner | 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 | 2019-10-09 |
| 1265081574 | Natalie Staten | Nurse Practitioner | 7651 Shelby Forest Cv, Memphis, TN 38125-2822 | 2019-09-09 |
| 1881247740 | Mekeilah Nevaun Johnson | Nurse Practitioner | 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 | 2019-07-19 |
| 1205488087 | Wendy Powell | Nurse Practitioner | 1407 Union Ave Ste 405, Memphis, TN 38104-3627 | 2019-07-12 |
| Find all providers in MEMPHIS | ||||
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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.