TENITA JACKSON (NPI# 1235407040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235407040 |
| Entity Type | Individual |
| Full Name | TENITA JACKSON |
| Practice Address |
100 Jerald Dr Monroe LA 71203-6708 |
| Practice Telephone | 3187377079 |
| Mailing Telephone | 3187377079 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2012-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
100 JERALD DR |
| City | MONROE |
| State | LA |
| Zip Code | 71203-6708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669098034 | Specialty Collection Services, LLC | Technician, Pathology | 940 Lonewa Ln, Monroe, LA 71203-6533 | 2020-06-22 |
| 1437497674 | B.a.t. Collection Service,llc | Technician, Pathology | 2207 Liberty St, Monroe, LA 71201-3623 | 2013-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674845 | Ashley Wright | Technician, Pathology | 14437 Locust St, Baton Rouge, LA 70819-3940 | 2020-06-22 |
| 1326674557 | Kwanza Quineise Gaines | Technician, Pathology | 3350 Ridgelake Dr Ste 200, Metairie, LA 70002-3831 | 2020-03-19 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1225509938 | Rosetta Marie Gabriel | Technician, Pathology | 3217 Angelique Dr, Violet, LA 70092-2851 | 2018-12-07 |
| 1841782208 | Journey Medical LLC | Technician, Pathology | 11924 Justice Ave Ste B, Baton Rouge, LA 70816-2372 | 2018-06-01 |
| 1194216465 | Shanne Gilbert | Technician, Pathology | Kenner Metairie and Surrounding Areas, Kenner, LA 70065 | 2018-05-23 |
| 1740780014 | Labs On The Go, LLC | Technician, Pathology | 303 Coles Creek Dr, Carencro, LA 70520-5791 | 2018-02-13 |
| 1518471861 | Gregory Keller | Technician, Pathology | 829 Legion Dr, Gretna, LA 70056-4518 | 2017-11-23 |
| 1376849349 | Dana D Latiolais | Technician, Pathology | 1271 Bayou Fuselier Rd, Arnaudville, LA 70512-3005 | 2011-02-08 |
| 1154574903 | Pamela E. Vital | Technician, Pathology | 330 Alamo St, Lake Charles, LA 70601-8584 | 2008-10-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TENITA 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.