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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 00000000000000000000 | 05 |
Street Address |
141 RUNNYMEDE DR |
City | EAST STROUDSBURG |
State | PA |
Zip Code | 18301-6958 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164944476 | Lawrence Jackson | Counselor | 141 Runnymede Dr, East Stroudsburg, PA 18301 | 2017-07-10 |
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 |
Find all providers in zip 18301 |
Taxonomy Code | 101YP1600X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Pastoral |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | EAST STROUDSBURG |
Zip Code | 18301 |
Please comment or provide details below to improve the information on DR. JONNIE R. 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.