NORMA JACKSON (NPI# 1336198829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336198829 |
| Entity Type | Individual |
| Full Name | NORMA JACKSON |
| Credential | FNP |
| Practice Address |
1494 Stuart Rd. Cleveland TN 37312 |
| Mailing Address |
6170 Shallowford Rd Ste 101 Chattanooga TN 37421-1892 |
| Practice Telephone | 4236487699 |
| Practice Fax Number | 4236487695 |
| Mailing Telephone | 4236484500 |
| Mailing Fax Number | 4238557563 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2008-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN6701 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 4162413 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477744183 | Norma M Jackson | Nurse Practitioner | 650 Warrenville Rd, Suite 400, Lisle, IL 60532-4314 | 2007-08-07 |
| 1235613530 | Norma Jackson | Case Manager/Care Coordinator | 275 North Street, Harrison, NY 10528 | 2018-09-21 |
| 1619950029 | Norma J Jackson | Anesthesiology | 1 Gustave L Levy Pl, Anesthesiology - Box 1010, New York, NY 10029-6500 | 2005-11-21 |
| Street Address |
1494 STUART RD. |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
| Find all providers in zip 37312 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
| 1508464132 | Molly Kane Kane Elek | Nurse Practitioner | 17801 Susan Ave, Cleveland, OH 44111-4148 | 2020-10-15 |
| 1619583424 | Paulina Kauzljar | Nurse Practitioner | 11100 Euclid Ave # 1635, Cleveland, OH 44106-1716 | 2020-09-17 |
| 1508479379 | April Danielle Daniel | Nurse Practitioner | 200 E Boothe St Ste 100, Cleveland, TX 77327-4063 | 2020-08-31 |
| 1730792037 | Jalayn Konys | Nurse Practitioner | 3653 W 159th St, Cleveland, OH 44111-5704 | 2020-08-26 |
| 1962014142 | Cassie Ann Williams | Nurse Practitioner | 470 8th St Nw, Cleveland, TN 37311-1811 | 2020-08-19 |
| 1417565912 | Jenae Camille Hennessey | Nurse Practitioner | 3278 Lakewood Dr Nw, Cleveland, TN 37312-2093 | 2020-07-21 |
| 1851918841 | Leslie Torchick Casteel | Nurse Practitioner | 2305 Chambliss Ave Nw Ste 101, Cleveland, TN 37311-3847 | 2020-06-25 |
| 1306462478 | Brooke Denise Booher | Nurse Practitioner | 611 Bell Rd Se, Cleveland, TN 37323-9003 | 2020-06-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| Find all providers in CLEVELAND | ||||
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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.