DR. JONNIE R. JACKSON


Address: 141 Runnymede Dr, East Stroudsburg, PA 18301-6958
Phone: (570) 476-4279

DR. JONNIE R. JACKSON (NPI# 1225550502) 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) 1225550502
Entity Type Individual
Full Name DR. JONNIE R. JACKSON
Practice Address 141 Runnymede Dr
East Stroudsburg
PA 18301-6958
Practice Telephone (570) 476-4279
Mailing Telephone 5704764279
Enumeration Date 2017-07-08
Last Update Date 2017-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP1600X Counselor
Specialization: Pastoral
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 00000000000000000000 05

Office Location

Street Address 141 RUNNYMEDE DR
City EAST STROUDSBURG
State PA
Zip Code 18301-6958

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164944476 Lawrence Jackson Counselor 141 Runnymede Dr, East Stroudsburg, PA 18301 2017-07-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801405030 Gabrielle Nicole Hahn Specialist/Technologist 213 Smith Street, East Stroudsburg, PA 18301 2020-07-23
1730601246 Eliezer Candelario Case Manager/Care Coordinator 255 Abeel Rd, East Stroudsburg, PA 18301 2017-07-17
1154843084 Oludamilola Olatunde Oke Homemaker 170 North Courtland Street, East Stroudsburg, PA 18301 2017-07-12
1205369451 My Lab Choice, Inc Clinical Medical Laboratory 391 East Brown Street, Lower Level, East Stroudsburg, PA 18301 2017-04-05
1538610498 Northland Hearing Centers, Inc. Hearing Aid Equipment 400 Plaza Ct Ste B, East Stroudsburg, PA 18301 2016-10-17
1962863423 Ryan Mackiewicz Student in an Organized Health Care Education/Training Program 68 Brown St, East Stroudsburg, PA 18301 2016-03-11
1437524139 Derek Oliver Massage Therapist 146 Azalea Drive, East Stroudsburg, PA 18301 2015-12-07
1093182529 Bathsheba Etheridge Contractor 128 Pasquin Drive, East Stroudsburg, PA 18301 2015-09-01
1538581533 Care Plus Oxygen, Inc. Durable Medical Equipment & Medical Supplies 114 Columbia Dr Ste 10, East Stroudsburg, PA 18301 2014-01-09
1457789117 Premier Pain Spine and Sports Medicine PC Specialist 391 East Brown Street, East Stroudsburg, PA 18301 2013-10-16
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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417582081 Ted Cibik Counselor 825 Lovers Leap Rd, Leechburg, PA 15656-8836 2020-03-04
1356980445 Peaceful Heart Counseling Counselor 1068 Bedford St, Johnstown, PA 15902-3807 2020-01-06
1720627805 Brad Griesheimer Counselor 1086 Bedford St, Johnstown, PA 15902 2020-01-06
1669025029 Debbie Littles Counselor 1410 North 31st Street, Chester, PA 19121-3870 2019-07-24
1043876840 Jose Angel Tavares Jr. Counselor 39 N 13th St, Allentown, PA 18102-4339 2019-05-16
1609335637 Barry Mcclay Counselor 110 Old York Rd, Dillsburg, PA 17019-9350 2019-03-19
1891253472 Merytony Pierre Jean Counselor 2841 Knorr St, Philadelphia, PA 19149-2518 2019-03-03
1154898831 Thomas Howell Iv Counselor 5655 Bryant St Ste 203, Pittsburgh, PA 15206-1511 2018-10-31
1235632944 Sarah Miller Counselor 38 W Laurel St, Bethlehem, PA 18018-2739 2018-03-09
1841702446 William C Luff Counselor 878 N 26th St, Philadelphia, PA 19130-1821 2017-11-04
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Competitor

Search similar providers

City EAST STROUDSBURG
Zip Code 18301

Improve Information

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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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