MRS. EVELYN K. JACKSON (NPI# 1326197690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326197690 |
| Entity Type | Individual |
| Full Name | MRS. EVELYN K. JACKSON |
| Credential | MS, RN, FNP-C |
| Practice Address |
6565 Fannin St Stb 1160 Houston TX 77030-2703 |
| Mailing Address |
Po Box 1761 Pasadena TX 77501-1761 |
| Practice Telephone | 7134411366 |
| Practice Fax Number | 7134417200 |
| Mailing Telephone | 2818525319 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
249258 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RN LICENSE | 249258 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275625568 | Evelyn Jackson | Military Health Care Provider | 209 Miller Loop, Fort Benning, Columbus, GA 31905-6560 | 2006-09-28 |
| 1457330821 | Evelyn Jackson | Nurse Anesthetist, Certified Registered | 5898 Augusta Ln, Grand Blanc, MI 48439-9472 | 2006-01-12 |
| 1568961837 | Evelyn Nicole Jackson | Nurse Practitioner | 36 Pemberton Cv, Jackson, TN 38305 | 2018-02-01 |
| 1770707093 | Evelyn Diane Jackson | Internal Medicine | 3416 Olandwood Ct, Suite 200, Olney, MD 20832-1372 | 2007-04-11 |
| Street Address |
6565 FANNIN ST STB 1160 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980263 | Janis Mary Snyder | Nurse Anesthetist, Certified Registered | 6565 Fannin St, Ste B452, Houston, TX 77030-2703 | 2005-05-28 |
| 1659987105 | Tammy Jean Davis | Nurse Practitioner | 6565 Fannin St, Houston, TX 77030-2703 | 2020-09-21 |
| 1003426826 | Priscilla Diaz | Registered Nurse | 6565 Fannin St, Houston, TX 77030-2703 | 2020-08-06 |
| 1285244061 | Jocelyn Gomez | Registered Nurse | 6565 Fannin St, Houston, TX 77030-2703 | 2020-08-05 |
| 1508475948 | Kimberly Cuellar | Nurse Practitioner | 6565 Fannin St, Houston, TX 77030-2703 | 2020-07-30 |
| 1437768520 | Tyfanie Nguyen | Registered Nurse | 6565 Fannin St, Houston, TX 77030-2703 | 2020-07-24 |
| 1912515602 | Latoya Lanette Cains-barnes | Nurse Practitioner | 6565 Fannin St, Houston, TX 77030-2703 | 2020-07-19 |
| 1497363295 | Reshemma Dion Nard | Nurse Practitioner | 6565 Fannin St, Houston, TX 77030-2703 | 2020-07-17 |
| 1730705252 | Kiely Alexis Whitham | Nurse Practitioner | 6565 Fannin St, Houston, TX 77030-2703 | 2020-06-20 |
| 1922624873 | Jonathan Brian Thai | Physical Therapy Assistant | 6565 Fannin St, Houston, TX 77030-2703 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1104426311 | Erin Krim Gordon | Nurse Practitioner | 2202 Quenby St, Houston, TX 77005-1502 | 2020-10-27 |
| 1003415902 | Hope Ozumba | Nurse Practitioner | 8544 Dairy View Ln, Houston, TX 77072-3907 | 2020-10-21 |
| 1487253761 | Khanh Vu Phuong Nguyen | Nurse Practitioner | 13218 Bellaire Bld, Houston, TX 77083 | 2020-10-19 |
| 1962001362 | Eshcol Clinic | Nurse Practitioner | 9935 Bissonnet St Unit B, Houston, TX 77036-8413 | 2020-10-19 |
| 1013516483 | Shazia Mominkhawaja | Nurse Practitioner | 2222 Greenhouse Rd Ste 400, Houston, TX 77084-7288 | 2020-10-18 |
| 1851908610 | Iyobo Elegon | Nurse Practitioner | 8511 Dawnridge Dr, Houston, TX 77071-2441 | 2020-09-25 |
| 1548877541 | Lifespan Psychiatry and Wellness Center Pllc | Nurse Practitioner | 8700 Commerce Park Dr Ste 220, Houston, TX 77036-7431 | 2020-09-24 |
| 1811503345 | Alyssa Cory Hildebrand | Nurse Practitioner | 2450 Fondren Rd Ste 111, Houston, TX 77063-2314 | 2020-09-21 |
| 1245846088 | Adriana Ortiz | Nurse Practitioner | 7218 Shady Corners Ln, Houston, TX 77040-4733 | 2020-09-17 |
| Find all providers in HOUSTON | ||||
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| 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.