CERRA JORDAN JACKSON


Address: 5710 Watermelon Road, Suite 600, Northport, AL 35473

CERRA JORDAN JACKSON (NPI# 1316585219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316585219
Entity Type Individual
Full Name CERRA JORDAN JACKSON
Credential CRNP
Practice Address 5710 Watermelon Road, Suite 600
Northport
AL 35473
Mailing Address 5710 Watermelon Road Suite 600
Northport
AL 35473
Mailing Telephone 2053456272
Enumeration Date 2019-12-11
Last Update Date 2020-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 1-143406 AL Allopathic & Osteopathic Physicians
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
1-143406 AL Physician Assistants & Advanced Practice Nursing Providers
N 364SF0001X Clinical Nurse Specialist
Specialization: Family Health
1-143406 AL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5710 WATERMELON ROAD, SUITE 600
City NORTHPORT
State AL
Zip Code 35473

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861002396 Lacedric Crawford Chore Provider 13055 Garden Creek Lane, Northport, AL 35473 2020-08-10
1033609748 Kara Lynne Pate Nurse Practitioner 5710 Watermelon Rd Ste 600, Northport, AL 35473 2018-05-17
1134619059 Vanessa Graves Social Worker 521 Energy Center Blvd Ste 1506, Northport, AL 35473 2018-05-16
1164930939 Brandi Nail Hubbard Family Medicine 5004 Al-69, Northport, AL 35473 2018-01-16
1831554104 Danielle Paulos Pharmacist 5137 Northcliff Dr, Northport, AL 35473 2015-12-30
1629497508 Lauren Hanley Nurse Practitioner 4280 Watermelon Rd Ste 110, Northport, AL 35473 2014-04-08
1528372802 Communication Advantage Speech-Language Pathologist 507 Energy Center Blvd Suite 301, West Al Speech Pathology, Northport, AL 35473 2010-07-29
1144467309 Caroline J Day Family Medicine 5710 Watermelon Road, Suite 600, Northport, AL 35473 2009-01-09
1538311196 Northridge Dialysis Center, LLC Clinic/Center 4400 Watermelon Road, Northport, AL 35473 2008-10-15
1649456831 Harvey A Edwards Iv Counselor 3665 Watermelon Road, Northport, AL 35473 2008-01-17
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770684045 Jennifer Leigh Gebhard Nurse Practitioner 79 Middleville Rd, Northport, NY 11768-2200 2006-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437765872 Tracie Diane Lavinsky Nurse Practitioner 13025 Alla Dr, Coker, AL 35452-3780 2020-09-21
1861007957 Kerri Lane Griffin Nurse Practitioner 1275 James Dr Ste A, Enterprise, AL 36330-2484 2020-09-15
1457971079 Lindsay Morris Nurse Practitioner 122 7th Ave Ne Ste D, Alabaster, AL 35007-9121 2020-04-23
1508492505 Tiffany Michele Folse Nurse Practitioner 9618 Chariot Ave, Fairhope, AL 36532-7412 2020-03-21
1548809239 Isuan Iriabho Nurse Practitioner Russell Medical Center, 3316 Us-280, Alexander City, AL 35010-9114 2019-12-30
1104476423 Anaidra L Reese Nurse Practitioner 2079 S Evergreen Dr, Auburn, AL 36830-6942 2019-09-18
1104481944 Deanna Montieth Nurse Practitioner 718 Downtowner Loop W, Mobile, AL 36609-5504 2019-05-07
1538622055 Dana Marie Register Nurse Practitioner 11119 S County Road 49, Slocomb, AL 36375-5871 2019-04-11
1396218707 Christine Wood Nurse Practitioner 4704 Whitesburg Dr Sw Ste 100, Huntsville, AL 35802-4302 2019-01-08
1780151514 Mary Virginia Halbrooks Nurse Practitioner 1001 Hill St Sw, Hartselle, AL 35640-2801 2018-10-30
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Competitor

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City NORTHPORT
Zip Code 35473

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Dataset Information

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.

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