JENNIFER J JACKSON (NPI# 1326360611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326360611 |
Entity Type | Individual |
Full Name | JENNIFER J JACKSON |
Credential | MS, LPC |
Practice Address |
364 E. Main Street Newark DE 19711 |
Mailing Address |
303 John Hancock Blvd Lincoln University PA 19352-9311 |
Practice Telephone | 3023190518 |
Practice Fax Number | 4846678047 |
Mailing Telephone | 3023190518 |
Mailing Fax Number | 4846678047 |
Enumeration Date | 2010-02-27 |
Last Update Date | 2017-02-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DE | 200188406 | 05 | |
PA | 1029057320001 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386738 | Jennifer O Jackson | Pharmacist | 1900 Ese Loop323, Tyler, TX 75701-8337 | 2020-11-05 |
1326655705 | Jennifer Nicole Jackson | Physical Therapy Assistant | 2540 Ridgeview Rd, Paris, TX 75460-3321 | 2020-09-29 |
1407461163 | Jennifer Jackson | Specialist/Technologist | 149 Flagstaff Dr, Bolingbrook, IL 60440-2657 | 2020-09-10 |
1689294829 | Jennifer K Jackson | Dietitian, Registered | 13017 Bear Dancer Trl Ne, Albuquerque, NM 87112-3726 | 2020-04-17 |
1285261479 | Jennifer Elizabeth Jackson | Pharmacist | 4675 W 37th Ave Apt 202, Denver, CO 80212-2079 | 2020-03-26 |
1487290524 | Jennifer Carol Jackson | Counselor | 76 Vassar St, Worcester, MA 01602-1535 | 2019-11-25 |
1275959348 | Jennifer Jackson | Dietitian, Registered | 101 Vinemont Dr, Lafayette, LA 70501-6579 | 2014-03-12 |
1013332535 | Jennifer Jackson | Speech-Language Pathologist | 1105 Mcmurdo Cir, Castle Rock, CO 80108-2821 | 2014-02-19 |
1891053526 | Jennifer Dawn Jackson | Counselor | 240 Orville Bates Ln, Estill Springs, TN 37330-4278 | 2012-05-01 |
1205149382 | Jennifer Lynn Lawrence Jackson | Pharmacist | 4718 Limestone Rd, Wilmington, DE 19808-1928 | 2010-07-19 |
Street Address |
364 E. MAIN STREET |
City | NEWARK |
State | DE |
Zip Code | 19711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942826516 | Shondell White | Social Worker | 1423 Capitol Trail Road, Suite 1302, Newark, DE 19711 | 2020-06-19 |
1861024838 | Judith Benedict Pantalino | Counselor | 950 Library Avenue, Suite 104, Newark, DE 19711 | 2020-02-07 |
1942842935 | Lauren Barile | Social Worker | 2644 Kirkwood Highway #250, Newark, DE 19711 | 2019-10-11 |
1164993143 | Sandra Cooper, Rn, Lpcmh, LLC | Counselor | 2644 Kirkwood Hwy., Suite 320, Newark, DE 19711 | 2018-12-17 |
1568944999 | Body Brain Sync, Inc | Physical Medicine & Rehabilitation | 412 Capitol Trail, Newark, DE 19711 | 2018-09-01 |
1528550514 | Levin Andrew Tucker | Counselor | 1423 Capitol Trail Polly Drummond Plaza Bdg3, Newark, DE 19711 | 2018-06-05 |
1124515606 | Elizabeth Caccavone | Counselor | 1423 Capitol Trail Rd, Newark, DE 19711 | 2018-04-19 |
1366960924 | Bradley Hunter | Behavioral Analyst | 625 Barksdale Road Suite 113, Newark, DE 19711 | 2017-09-05 |
1720504905 | Tri-state Physicians Inc | Internal Medicine | 266 South College Ave, Newark, DE 19711 | 2017-08-18 |
1811427123 | Erin Cliffe | Social Worker | 3303 Drummond Plz, Newark, DE 19711 | 2017-06-19 |
Find all providers in zip 19711 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811502115 | Jaclyn Marie Tomasetti | Counselor | 5 Cognac Dr, Newark, DE 19702-5507 | 2020-09-14 |
1770195422 | Emily S Moley | Counselor | 125 Blossom Rd, Newark, NY 14513-2010 | 2020-08-23 |
1871104000 | Jump Kids LLC | Counselor | 16 Foster St, Newark, NJ 07114-1327 | 2020-08-11 |
1326665480 | Deandra Guzman | Counselor | 431-435 18th Avenue, Newark, NJ 07108 | 2020-07-06 |
1992328587 | Steven Forrester Coleman Sr. | Counselor | 276 E Main St Ste 203, Newark, DE 19711-7356 | 2020-05-18 |
1851912620 | Shaista Sowell | Counselor | 162 Clinton Pl, Newark, NJ 07112-1602 | 2020-05-02 |
1861024838 | Judith Benedict Pantalino | Counselor | 950 Library Avenue, Suite 104, Newark, DE 19711 | 2020-02-07 |
1275173049 | Ibn Abdush Musa Ahmad | Counselor | 182 Johnson Ave, Newark, NJ 07108-2709 | 2020-01-09 |
1629617303 | Alyana Blythe | Counselor | 262 Chapman Rd Bldg Suite100, Newark, DE 19702-5448 | 2019-12-30 |
1194364141 | Healing Source LLC | Counselor | 35 Wenark Dr Apt 2, Newark, DE 19713-1445 | 2019-12-21 |
Find all providers in NEWARK |
Please comment or provide details below to improve the information on JENNIFER J 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.