LORI ANN JACKSON (NPI# 1235695677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235695677 |
| Entity Type | Individual |
| Full Name | LORI ANN JACKSON |
| Credential | ARNP |
| Practice Address |
150 W Bear Track Rd Campbellsville KY 42718-8709 |
| Practice Telephone | 2704658133 |
| Practice Fax Number | 2707891543 |
| Mailing Telephone | 2704658133 |
| Mailing Fax Number | 2707891543 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1061139 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KY. BOARD OF MEDICAL LICENSERS | 1061139 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477051845 | Lori Jackson | Home Health Aide | 2800 Tusky Valley Rd Ne, Mineral City, OH 44656-9691 | 2018-01-31 |
| 1659695070 | Lori Ellen Jackson | Case Manager/Care Coordinator | 6625 W 26th Ave, Wheat Ridge, CO 80214-8014 | 2010-03-15 |
| 1407088248 | Lori Jackson | Private Vehicle | 3103 S Dartmouth St, Detroit, MI 48217-1020 | 2009-08-12 |
| 1780822056 | Lori Ann Jackson | Psychiatry & Neurology | 22216 South Ave, Florala, AL 36442-3144 | 2009-01-26 |
| 1972526499 | Lori A Jackson | Nurse Practitioner | 2423 N National Rd, Columbus, IN 47201-3733 | 2006-07-25 |
| 1538778386 | Lori Elizabeth Jackson | Registered Nurse | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 2020-07-28 |
| 1528565710 | Lori Jackson | Nurse Practitioner | 934 Main St, Saint George Island, AK 99591 | 2018-04-12 |
| 1902205693 | Lori Jane Jackson | Speech-Language Pathologist | 9100 White Bluff Rd, Suite 202, Savannah, GA 31406-4668 | 2014-08-19 |
| 1821372855 | Lori Anne Jackson | Registered Nurse | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2011-10-10 |
| 1154533271 | Lori R Jackson | Family Medicine | 1701 Curtis Rd, Champaign, IL 61822-9678 | 2007-05-03 |
| Street Address |
150 W BEAR TRACK RD |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-8709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215919451 | Jerome Anthony Dixon | Neuromusculoskeletal Medicine & OMM | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2005-11-15 |
| 1750785150 | Jerome Anthony Dixon D O P S C | Nurse Practitioner | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2014-10-14 |
| 1649671827 | Premiertox 2.0 Inc. | Clinical Medical Laboratory | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2014-09-08 |
| 1942540984 | Crossroads Family Medicine | Preventive Medicine | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2013-02-28 |
| 1508932955 | Jerome Anthony Dixon D O P S C | Nurse Practitioner | 150 W Bear Track Rd, Campbellsville, KY 42718-8709 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756012 | Bethany Faye Sullivan | Nurse Practitioner | 4760 New Lebanon Rd, Campbellsville, KY 42718-9246 | 2020-10-06 |
| 1508425844 | Abby Carter | Nurse Practitioner | 796 W Broadway St, Campbellsville, KY 42718-2783 | 2019-06-11 |
| 1356809768 | Stacey C Greenwell-osborne | Nurse Practitioner | 138 Campbellsville Byp Ste 5, Campbellsville, KY 42718-8843 | 2019-03-05 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841447059 | Mary J Morrison | Nurse Practitioner | 1327 E Broadway St Ste B, Campbellsville, KY 42718-1599 | 2008-08-20 |
| 1972656379 | Susan Ashley Shively | Nurse Practitioner | 803 Lebanon Ave, Campbellsville, KY 42718-1809 | 2007-01-19 |
| 1295810786 | Kimberly Rose Mckenna | Nurse Practitioner | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2006-10-25 |
| 1477592293 | Melony Kay Cundiff-adams | Nurse Practitioner | 522 N Hoskins Ave, Campbellsville, KY 42718-2117 | 2006-06-06 |
| 1265039309 | Melissa Simpson | Nurse Practitioner | 102 Winston Way Ste 5, Campbellsville, KY 42718-4991 | 2020-10-01 |
| 1487261228 | Laree Shively | Nurse Practitioner | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | 2020-09-25 |
| Find all providers in CAMPBELLSVILLE | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
Please comment or provide details below to improve the information on LORI ANN 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.