JENNIFER J JACKSON


Address: 364 E. Main Street, Newark, DE 19711
Phone: 3023190518

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
DE 200188406 05
PA 1029057320001 05

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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
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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

Office Location

Street Address 364 E. MAIN STREET
City NEWARK
State DE
Zip Code 19711

Providers in the same zip code

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 Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City NEWARK
Zip Code 19711

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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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