CHRISTY CLYBORNE JACKSON (NPI# 1245888213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245888213 |
| Entity Type | Individual |
| Full Name | CHRISTY CLYBORNE JACKSON |
| Credential | FNP |
| Practice Address |
610 Ferncrest Dr Ste B Sandersville GA 31082-1863 |
| Mailing Address |
501d Sparta Rd Sandersville GA 31082-1315 |
| Practice Telephone | 4785529000 |
| Practice Fax Number | 4782409022 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN129205 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 Sparta Rd Ste B, Sandersville, GA 310821380 | 4785523441 | |
| 501d Sparta Rd, Sandersville, GA 31082 | 4785523441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396009650 | Christy Wiest Jackson | Occupational Therapy Assistant | 113 Ulysses Ln, Oak Ridge, TN 37830-5238 | 2012-07-01 |
| 1295908051 | Christy Danielle Jackson | Licensed Psychiatric Technician | 409 Courtland St, Elyria, OH 44035-3167 | 2008-04-11 |
| 1174170591 | Christy Danielle Jackson | Speech-Language Pathologist | 6701 Pinemont Dr Ste 200, Houston, TX 77092-3131 | 2019-08-20 |
| 1417361536 | Christy Lynn Jackson | Counselor | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2014-06-17 |
| 1518232107 | Christy Alexa Steimer Jackson | Psychologist | 153 Hazard Ave, Enfield, CT 06082-4592 | 2012-03-14 |
| 1780996850 | Christy Nichole Jackson | Advanced Practice Midwife | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2010-07-06 |
| 1295964419 | Christy Tunnell Jackson | Physical Therapist | 1700 Ne Indian River Dr, Jensen Beach, FL 34957-5853 | 2009-07-09 |
| 1619992286 | Christy M Jackson | Psychiatry & Neurology | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2006-07-13 |
| Street Address |
610 FERNCREST DR STE B |
| City | SANDERSVILLE |
| State | GA |
| Zip Code | 31082-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487607578 | Earle M Taylor | Family Medicine | 610 Ferncrest Dr Ste B, Sandersville, GA 31082-1863 | 2006-05-18 |
| 1295385557 | Jamekia Kitchens | Nurse Practitioner | 610 Ferncrest Dr Ste B, Sandersville, GA 31082-1863 | 2019-09-18 |
| 1013303262 | Thomas Christopher Smith | Family Medicine | 610 Ferncrest Dr Ste B, Sandersville, GA 31082-1863 | 2015-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033613724 | Keith B Thompson | Driver | 417 W Haynes St, Sandersville, GA 31082 | 2018-03-19 |
| 1922451079 | Thomas A Curry | Pharmacist | 514 Washington Avenue, Sandersville, GA 31082 | 2016-07-13 |
| 1770952574 | Cynthia J. Roche | Physical Therapist | 618 Ferncrest Drive, Sandersville, GA 31082 | 2015-09-22 |
| 1376948109 | Solomon Agyeman | Physical Therapist | 610 Sparta Wood, Sandersville, GA 31082 | 2014-10-22 |
| 1649472036 | John R. Clements | Dentist | 106 W 2nd Ave, Sandersville, GA 31082 | 2007-06-05 |
| 1821214271 | John W Dickey | Dentist | 201 Medical Arts Drive, Sandersville, GA 31082 | 2007-04-17 |
| 1346340320 | Mark R Harvey Md PC | Internal Medicine | 203 Medical Arts Pl, Suite 3, Sandersville, GA 31082 | 2006-09-22 |
| 1932202694 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 206 S Harris St, Sandersville, GA 31082 | 2006-09-07 |
| 1053421172 | Mark R Harvey | Internal Medicine | 203 Medical Arts Place, Suite 3, Sandersville, GA 31082 | 2006-08-30 |
| 1093757239 | Parrin Tareyl Barton | Family Medicine | 610 Ferncrest Drive, Sandersville, GA 31082 | 2006-06-12 |
| Find all providers in zip 31082 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784788 | Natasha Allen | Nurse Practitioner | 4177 Pelham Cir, Lithonia, GA 30038-6140 | 2020-09-14 |
| 1336753920 | Henny P Brown | Nurse Practitioner | 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 | 2020-09-01 |
| 1487267415 | Alethea Hope Tucker | Nurse Practitioner | 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 | 2020-08-28 |
| 1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
| 1164032017 | Myiesha Sellers Mcfarlin | Nurse Practitioner | 55 Sellers Ln, Baxley, GA 31513-2208 | 2020-08-05 |
| 1124645395 | Kisha Smalley | Nurse Practitioner | 117 Gambier Cv, Mcdonough, GA 30252-6273 | 2020-07-02 |
| 1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
| 1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
| 1891329660 | Tracey Lynn Murray | Nurse Practitioner | 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 | 2020-03-02 |
| 1841820917 | Vedic Family Practice and Wellness | Nurse Practitioner | 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
| City | SANDERSVILLE |
| Zip Code | 31082 |
Please comment or provide details below to improve the information on CHRISTY CLYBORNE 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.