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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
119 OAKFIELD DR |
City | BRANDON |
State | FL |
Zip Code | 33511-5779 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 33511 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
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] |
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 |
Please comment or provide details below to improve the information on DR. JORDAN VAN 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.