DR. JORDAN VAN JACKSON


Address: 119 Oakfield Dr, Brandon, FL 33511-5779
Phone: 8136815551

DR. JORDAN VAN JACKSON (NPI# 1225598865) 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) 1225598865
Entity Type Individual
Full Name DR. JORDAN VAN JACKSON
Credential DO
Practice Address 119 Oakfield Dr
Brandon
FL 33511-5779
Mailing Address 10762 Pleasant Knoll Dr
Tampa
FL 33647-3667
Practice Telephone 8136815551
Practice Fax Number 8139162944
Mailing Telephone 7134470122
Enumeration Date 2019-03-20
Last Update Date 2019-03-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

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1619583069 Jordan C Jackson Chiropractor 280 Us Highway 9 Ste E, Morganville, NJ 07751-1572 2020-09-21
1891315222 Jordan Tyler Jackson Student in an Organized Health Care Education/Training Program 19512 Crest Ridge Dr, Edmond, OK 73012-3504 2020-04-27
1639712581 Jordan Leigh Jackson Counselor 1914 5th Ave S, Irondale, AL 35210 2019-10-23
1205285160 Jordan Aaron Jackson Family Medicine 7101 Jahnke Rd # 7151, Richmond, VA 23225-4017 2016-06-10
1942801923 Jordan Jackson Behavior Technician 51145 Nicolette Dr, Chesterfield, MI 48047-4585 2020-11-05
1790396802 Jordan N Jackson Dentist 8955 Wood Rd, Bethesda, MD 20889-5628 2020-08-12
1649881939 Jordan Michelle Jackson Behavior Technician 6925 Parkdale Pl, Indianapolis, IN 46254-4673 2020-08-11
1619501004 Jordan Jackson Counselor 3355 Bee Caves Rd Ste 101, West Lake Hills, TX 78746-6673 2020-02-25
1811462898 Jordan Jackson Case Manager/Care Coordinator 203b Westport Dr, Cabot, AR 72023-3657 2018-10-05
1902382161 Jordan Jackson Case Manager/Care Coordinator 109 Chevy Ln Ste C, Bunkie, LA 71322-1561 2018-07-11

Office Location

Street Address 119 OAKFIELD DR
City BRANDON
State FL
Zip Code 33511-5779

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093799033 Wayne Arthur Pickard Anesthesiology 119 Oakfield Dr, Brandon, FL 33511-5779 2005-12-02
1144829607 Alexander Hamead Bogherie II Registered Nurse 119 Oakfield Dr, Brandon, FL 33511-5779 2020-10-25
1639785926 Peerless Health Consulting LLC Internal Medicine 119 Oakfield Dr, Brandon, FL 33511-5779 2020-09-22
1346850765 Daniela Karin Cardozo Registered Nurse 119 Oakfield Dr, Brandon, FL 33511-5779 2020-08-01
1184233041 Roxanne Miller Anesthesiologist Assistant 119 Oakfield Dr, Brandon, FL 33511-5779 2020-07-27
1578181400 Islen Bautista Anesthesiologist Assistant 119 Oakfield Dr, Brandon, FL 33511-5779 2020-07-07
1699398222 Cd Medical Services Pa Internal Medicine 119 Oakfield Dr, Brandon, FL 33511-5779 2020-05-18
1558982785 Amanda Renee Foresteire Physician Assistant 119 Oakfield Dr, Brandon, FL 33511-5779 2020-04-28
1780203935 Rachel Lea Hartman Student in an Organized Health Care Education/Training Program 119 Oakfield Dr, Brandon, FL 33511-5779 2020-04-08
1467081208 Elnara Muradova Student in an Organized Health Care Education/Training Program 119 Oakfield Dr, Brandon, FL 33511-5779 2020-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295367555 Ability Beyond Measures LLC. Clinic/Center 2705 Isabella Valley Court, Brandon, FL 33511 2020-02-05
1831744655 Brandon Modern Dentistry, Pa Dentist 971 E. Bloomingdale Avenue, Brandon, FL 33511 2019-08-08
1487208922 Heart and Vascular Center of Brandon, Pllc Internal Medicine 511 Medical Oaks Ave., Brandon, FL 33511 2019-08-01
1841842895 Rebecca Harrelson Counselor 915 Oakfield Drive, Suite E, Brandon, FL 33511 2019-07-10
1043779713 Cheryl Diane Hart Nurse Practitioner 888 S Parsons Ave., Brandon, FL 33511 2019-03-13
1306303177 Paula J Buchwald Nurse Practitioner 888 S. Parsons Ave, Brandon, FL 33511 2019-02-27
1063993996 Ashlee Marie Shevchenko Speech-Language Pathologist 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 2018-08-28
1275023012 Ava Cares, LLC Assisted Living Facility 3005 Bell Shoals Rd., Brandon, FL 33511 2018-05-17
1346738705 Tampa Psychology Group Psychologist 1463 Oakfield Dr Ste 109, Brandon, FL 33511 2018-05-01
1760982987 Suresh Lama Tamang Counselor 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 2018-02-14
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942817838 Ebony Symone' Woodson Student in an Organized Health Care Education/Training Program 288 Mount Helm Rd, Brandon, MS 39047-8462 2020-09-25
1417561614 Shelly Ann Bilbro Student in an Organized Health Care Education/Training Program 836 Rushton Cir, Brandon, MS 39047-8170 2020-09-04
1295354785 Ashley Karol Brown Student in an Organized Health Care Education/Training Program 201 Bellewood Dr, Brandon, MS 39042-3268 2020-04-14
1114555190 Kevin Ceballos Student in an Organized Health Care Education/Training Program 119 Oakfield Dr Fl 33511, Brandon, FL 33511-5779 2020-03-27
1912539909 Carolyna Danielle Perez Student in an Organized Health Care Education/Training Program 2612 Bermuda Lake Dr Apt 204a, Brandon, FL 33510-2290 2020-02-07
1568020964 Purab Patel Student in an Organized Health Care Education/Training Program 2636 Bermuda Lake Dr Apt 203a, Brandon, FL 33510-2398 2019-05-31
1891292447 Seth Lewis Maxwell Student in an Organized Health Care Education/Training Program 119 Oakfield Dr Fl 3, Brandon, FL 33511-5779 2018-04-10
1548790231 Kenneth G Rosario Jr. Student in an Organized Health Care Education/Training Program 119 Oakfield Drive Brandon Florida 33511, Brandon, FL 33511 2017-06-14
1881047942 Michael Udall Reid Student in an Organized Health Care Education/Training Program 500 Avalon Way Apt 309, Brandon, MS 39047-7546 2016-07-13
1578917563 Alicia Sanchezcummings Student in an Organized Health Care Education/Training Program 231 Mason St, Brandon, FL 33511-5211 2016-04-16
Find all providers in BRANDON

Competitor

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City BRANDON
Zip Code 33511

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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