MRS. JUDY GOLDSON JACKSON (NPI# 1235486473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235486473 |
| Entity Type | Individual |
| Full Name | MRS. JUDY GOLDSON JACKSON |
| Credential | WHNP BC |
| Practice Address |
2020 S Independence Blvd Suite 5 Virginia Beach VA 23453-4776 |
| Practice Telephone | 7574716903 |
| Practice Fax Number | 7574713974 |
| Mailing Telephone | 7574716903 |
| Mailing Fax Number | 7574713974 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
0024049242 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144860255 | Judy Jackson | Private Vehicle | 29 Morris Dr, Cumberland, VA 23040-2625 | 2020-01-07 |
| 1548671316 | Judy Marie Jackson | Custodial Care Facility | 5941 Wilerson Rd., Rex, GA 30273-1506 | 2014-05-15 |
| 1962624387 | Judy Eva Jackson | Physical Therapist | 38435 5th St. W, Apt J155, Palmdale, CA 93551 | 2007-05-03 |
| 1528286705 | Judy Carlene Jackson | Registered Nurse | 10 Davis Ct, Glen Burnie, MD 21060-7709 | 2007-04-23 |
| 1376512145 | Judy M Jackson | Radiology | 1180 N. Indian Canyon Dr, Ste E218, Palm Springs, CA 92262-4800 | 2006-03-15 |
| 1851931026 | Judy Jackson | Registered Nurse | 206 Gatewood Ave, High Point, NC 27262-4820 | 2020-01-15 |
| 1255700571 | Judy Jackson | Counselor | 2801 Buford Hwy Ne, Suite T30, Brookhaven, GA 30329-2149 | 2015-09-16 |
| 1578847505 | Judy Ellen Jackson | Counselor | 1950 N Okmulgee, Okmulgee, OK 74447-6534 | 2011-10-10 |
| 1629205224 | Judy Jackson | Marriage & Family Therapist | 110 N Santa Cruz Ave, Suite C, Los Gatos, CA 95030-5919 | 2009-06-22 |
| Street Address |
2020 S INDEPENDENCE BLVD SUITE 5 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23453-4776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487609004 | Arturo Busante Gonzalez II | Chiropractor | 2020 S Independence Blvd, Suite 6, Virginia Beach, VA 23453-4776 | 2006-05-23 |
| 1134512486 | Kathleen Danielle Brown | Nurse Practitioner | 2020 S Independence Blvd, #5, Virginia Beach, VA 23453-4776 | 2015-03-11 |
| 1750636270 | Jenifer Cotter | Nurse Practitioner | 2020 S Independence Blvd, Suite 5, Virginia Beach, VA 23453-4776 | 2012-07-20 |
| 1417047663 | Gautam D Desai | Family Medicine | 2020 S Independence Blvd, Suite #3, Virginia Beach, VA 23453 | 2006-10-16 |
| 1639260680 | Jitendra Patel | Family Medicine | 2020 S Independence Blvd, Ste 1, Virginia Beach, VA 23453 | 2006-09-27 |
| 1316038383 | Myrna Espinosa | Family Medicine | 2020 S Independence Blvd, Virginia Beach, VA 23453-4776 | 2006-09-27 |
| 1104917145 | Family & Internal Medical Cntr | Family Medicine | 2020 S Independence Blvd, Virginia Beach, VA 23453-4776 | 2006-09-27 |
| 1861583841 | Kanak Roy | Family Medicine | 2020 S Independence Blvd, Virginia Beach, VA 23453-4776 | 2006-09-27 |
| 1881619518 | Dawn Angelique Wilson | Chiropractor | 2020 S Independence Blvd, Suite 6, Virginia Beach, VA 23453-4776 | 2006-07-13 |
| 1033147798 | Alliance Chiropractic & Rehabilitation | Chiropractor | 2020 S Independence Blvd, Suite 6, Virginia Beach, VA 23453-4776 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407346109 | Sumaca S.a De C.v. | General Acute Care Hospital | Paseo De La Marina Int 4116, El Medano, San Jose Del Cabo, BAJA CALIFORNIA SUR 23453 | 2018-05-17 |
| 1336644814 | Jessica Zuckerman | Family Medicine | 2309 Nettleford Way, Virginia Beach, VA 23453 | 2018-03-27 |
| 1811359623 | Jana Leigh Dillon | Behavioral Analyst | 3101 Magic Hollow Blvd Ste 101, Virginia Beach, VA 23453 | 2016-03-22 |
| 1679903249 | Carmen Robinson | Physical Therapy Assistant | 3729 Purebred Dr, Virginia Beach, VA 23453 | 2013-11-19 |
| 1386986891 | Christina Pryor | Behavioral Analyst | Nbc 1531 Amberley Forest Road, Virginia Beach, VA 23453 | 2013-03-22 |
| 1417222415 | Rebecca Lynn Dahlka | Contractor | 1404 Planting Ct., Virginia Beach, VA 23453 | 2012-03-09 |
| 1730405879 | Coastal Dermatology P.C. | Dermatology | 3176 Holland Rd., 103, Virginia Beach, VA 23453 | 2010-04-14 |
| 1235466277 | Michael Allen Brasko | Specialist/Technologist, Other | 2604 Olympic Drive, Virginia Beach, VA 23453 | 2009-11-12 |
| 1518101385 | Matthew Faauli | Social Worker | 3134 Magic Hollow Blvd, Ste 200, Virginia Beach, VA 23453 | 2009-04-23 |
| 1104902246 | Cynthia Tapp Elswick | Social Worker | 3432 Magic Hollow Blvd, Suite 200, Va. Beach, VA 23453 | 2006-10-31 |
| Find all providers in zip 23453 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659871713 | Emily Nobles | Nurse Practitioner | 3720 Holland Rd Ste 101, Virginia Beach, VA 23452-2859 | 2018-02-15 |
| 1326439555 | Charlette N King | Nurse Practitioner | 2865 Lynnhaven Dr Ste A4, Virginia Beach, VA 23451-1542 | 2015-02-10 |
| 1447420575 | Eliaine Reed | Nurse Practitioner | 2701 Chester Forest Ct, Virginia Beach, VA 23452-7709 | 2008-03-05 |
| 1821266487 | Stephanie S Stephens | Nurse Practitioner | 2020 S Independence Blvd Ste 5, Virginia Beach, VA 23453-4776 | 2008-02-18 |
| 1457840506 | Stacey Elizabeth Seeley | Nurse Practitioner | 515 Newtown Rd, Virginia Beach, VA 23462-5620 | 2018-05-04 |
| 1962854489 | Whitney Cotton | Nurse Practitioner | 515 Newtown Rd, Virginia Beach, VA 23462-5620 | 2016-07-08 |
| 1417303678 | Ashley Dean Moan | Nurse Practitioner | 1080 First Colonial Rd, Ste 300, Virginia Beach, VA 23454-2406 | 2016-05-06 |
| 1134512486 | Kathleen Danielle Brown | Nurse Practitioner | 2020 S Independence Blvd, #5, Virginia Beach, VA 23453-4776 | 2015-03-11 |
| 1750636270 | Jenifer Cotter | Nurse Practitioner | 2020 S Independence Blvd, Suite 5, Virginia Beach, VA 23453-4776 | 2012-07-20 |
| 1861770323 | Katherine Church Duey | Nurse Practitioner | 1181 First Colonial Rd, Suite 100, Virginia Beach, VA 23454-2437 | 2011-08-01 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23453 |
Please comment or provide details below to improve the information on MRS. JUDY GOLDSON 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.