LINDA M JACKSON


Address: 207 Elk Ave S, Fayetteville, TN 37334-3051
Phone: 9314332551

LINDA M JACKSON (NPI# 1336190644) 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) 1336190644
Entity Type Individual
Full Name LINDA M JACKSON
Credential M.D.
Practice Address 207 Elk Ave S
Fayetteville
TN 37334-3051
Practice Telephone 9314332551
Practice Fax Number 9314331142
Mailing Telephone 9314332551
Mailing Fax Number 9314331142
Enumeration Date 2006-05-12
Last Update Date 2012-07-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 41137 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN 3338656 05

Other Providers LINDA JACKSON

NPI Name Taxonomy Address Enumeration
1558741512 Linda Jackson Community Health Worker 5070 Coleridge Dr, Fairfax, VA 22032-2416 2015-06-04
1285944538 Linda Jackson Counselor 2817 Se 47th St, Oklahoma City, OK 73129-8727 2010-10-19
1417282955 Linda Carol Jackson Physical Therapy Assistant 9200 S County Road 300 W, Muncie, IN 47302-8833 2009-10-15
1992943492 Linda Gail Jackson Registered Nurse 28 Violet Rd, Kings Park, NY 11754-2336 2009-01-22
1144305046 Linda M Jackson Counselor 417 Ipock St, Vanceboro, NC 28586-7996 2006-10-26
1033292842 Linda L. Jackson Counselor 2735 Henning Dr, Winston Salem, NC 27106-4578 2006-10-23
1487742102 Linda Johnson Jackson Psychologist 10701 Corporate Dr Ste 220, Stafford, TX 77477-4093 2006-10-10
1952910812 Linda Joyice Jackson Home Health Aide 1516 E Tropicana Ave Ste 199, Las Vegas, NV 89119-8323 2020-07-27
1932766946 Linda Jackson Behavior Technician 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 2019-05-24
1053816314 Linda Natasha Rene Jackson Case Manager/Care Coordinator 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 2018-03-28

Office Location

Street Address 207 ELK AVE S
City FAYETTEVILLE
State TN
Zip Code 37334-3051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205837440 Elaine O Barnes Psychologist 207 Elk Ave S, Fayetteville, TN 37334-3051 2005-08-10
1932627650 Hh Spine & Neuro- Tennessee Physician Assistant 207 Elk Ave S, Fayetteville, TN 37334-3051 2017-09-01
1225574056 Hh Physician Care-fayetteville Medical Associates Family Medicine 207 Elk Ave S, Fayetteville, TN 37334-3051 2017-01-18
1396126165 Charles Alexander Kidd Internal Medicine 207 Elk Ave S, Fayetteville, TN 37334-3051 2015-06-17
1891923124 Bartie C Scott Nurse Practitioner 207 Elk Ave S, Fayetteville, TN 37334-3051 2009-06-25
1851534606 Amanda Bradley Nurse Practitioner 207 Elk Ave S, Fayetteville, TN 37334-3051 2009-04-09
1609075670 Andrea Askins Thorpe Pediatrics 207 Elk Ave S, Fayetteville, TN 37334-3051 2007-07-11
1174747604 Kara L Hall Nurse Practitioner 207 Elk Ave S, Fayetteville, TN 37334-3051 2007-04-13
1962536110 Rachel G Mccauley Marriage & Family Therapist 207 Elk Ave S, Fayetteville, TN 37334-3051 2007-03-16
1790862134 Harry Troy Green Marriage & Family Therapist 207 Elk Ave S, Ste C, Fayetteville, TN 37334-3051 2006-11-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902385198 Denisia Bernadette Maldonado Specialist/Technologist, Other 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 2018-08-09
1457801011 Joshua Meadows Specialist/Technologist 101 Industrial Blvd, Fayetteville, TN 37334 2016-10-07
1891083762 Kathryn Clare Moran Physical Therapist 1412 Huntsville Hwy, Fayetteville, TN 37334 2011-07-13
1891997714 Calvin H Parks Chiropractor 1321 Huntsville Hwy, Fayetteville, TN 37334 2007-06-04
1225249691 Stacey Starr Pace Family Medicine 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 2007-05-25
1144388992 Tom Spain Bigham IIi Dentist 608 West College Street, Fayetteville, TN 37334 2006-12-05
1932286259 Alan B Drewry Dentist 602 West College Street, Fayetteville, TN 37334 2006-11-01
1083724561 Samuel Michael Ashby Internal Medicine 804 William D Jones Blvd, Fayetteville, TN 37334 2006-08-30
1194336818 Collin Amos Pharmacist 1000 Huntsville Hwy, Fayetteville, TN 37334 2020-08-14
1629450614 William Daniel Nurse Practitioner 106 Medical Center Blvd, Fayetteville, TN 37334 2015-06-25
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376169185 Raheem Lalani Family Medicine 230 Fieldstone Way, Fayetteville, GA 30215-8170 2020-06-18
1821619370 Kelly R. Mccarty Family Medicine 5872 W Bannister Dr, Fayetteville, AR 72704-6536 2020-05-06
1720620230 Vector Health and Wellness, LLC Family Medicine 1267 N Steamboat Dr Ste 3, Fayetteville, AR 72704-7148 2019-10-16
1295382182 Nimota Motunrayo Akintoye Family Medicine 140 Briergate Pl, Fayetteville, GA 30214-3931 2019-08-24
1609332725 Fastmed Health Nc, Pllc Family Medicine 150 Francam Dr, Fayetteville, NC 28311-4500 2019-02-13
1013486638 K E Management Services Family Medicine 1420 E Augustine Ln Ste 7, Fayetteville, AR 72703-4995 2018-11-14
1659896751 Melissa Holt Family Medicine 108 Medical Center Blvd Ste G-50, Fayetteville, TN 37334-2741 2017-08-09
1124477484 Mark William Guelzow Family Medicine 4101 Medical Center Dr Ste 1c, Fayetteville, NY 13066-6600 2016-06-08
1962865659 Tracie Fullove Family Medicine 3162 W Martin Luther King Blvd Ste 13-14, Fayetteville, AR 72704-7679 2016-03-31
1053778936 Linda Nancy Robinson Family Medicine 7107 Thorntree Hill Dr, Fayetteville, NY 13066-9790 2016-01-22
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Competitor

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City FAYETTEVILLE
Zip Code 37334

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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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