MRS. TWANNA EVETTE JACKSON (NPI# 1336342559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336342559 |
| Entity Type | Individual |
| Full Name | MRS. TWANNA EVETTE JACKSON |
| Credential | APN, BC |
| Practice Address |
300 River Branch Dr Collierville TN 38017-2653 |
| Practice Telephone | 9018542736 |
| Mailing Telephone | 9018542736 |
| Enumeration Date | 2007-06-06 |
| 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 |
12795 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 RIVER BRANCH DR |
| City | COLLIERVILLE |
| State | TN |
| Zip Code | 38017-2653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1104440171 | Cecelia Hunt | Social Worker | 2555 Halle Parkwsy, Collierville, TN 38017 | 2020-06-04 |
| 1053803403 | Sarah Harris | Physical Therapist | 605 Heather Lake Cv, Collierville, TN 38017 | 2018-06-01 |
| 1023507811 | Sandra P Morris | Pharmacist | 560 West Poplar, Collierville, TN 38017 | 2018-05-07 |
| 1043751159 | Rahim Panjwani | Physical Therapist | 2028 W. Poplar Ave, Collierville, TN 38017 | 2017-03-09 |
| 1104273234 | The Branch House | Counselor | 562 Center St, Collierville, TN 38017 | 2016-05-18 |
| 1760840052 | Amodeo Chiropractic Center Inc | Chiropractor | 161 Hwy 72 East, Collierville, TN 38017 | 2016-02-02 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1841616513 | First Choice Transportation | Non-emergency Medical Transport (VAN) | 336 E. Valleywood Drive, Collierville, TN 38017 | 2014-03-05 |
| 1821424276 | Shana Cole Cannon | Licensed Practical Nurse | 777 W. Poplar Ave., Suite 104, Collierville, TN 38017 | 2013-09-17 |
| Find all providers in zip 38017 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528698859 | Jennifer Keneally Gant | Nurse Practitioner | 1752 John Ridge Dr, Collierville, TN 38017-7606 | 2020-01-26 |
| 1407301567 | Brittany Dye | Nurse Practitioner | 11973 Macon Rd Ste 3, Collierville, TN 38017-4879 | 2016-08-18 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1043636244 | Candace Harris | Nurse Practitioner | 1204 W Poplar Ave, Suite 102, Collierville, TN 38017-3103 | 2014-03-12 |
| 1770858144 | Aaron Harris | Nurse Practitioner | 1500 W Poplar Ave Ste 308, Collierville, TN 38017-0601 | 2012-03-18 |
| 1558649723 | April R Johnson | Nurse Practitioner | 461 Tuscumbia Cv W, Collierville, TN 38017-3659 | 2011-07-22 |
| 1396033031 | Cynthia Dawn Howell | Nurse Practitioner | 240 New Bihalia Road, Collierville, TN 38017 | 2011-07-15 |
| 1770728784 | Loretta Lambert Shamley | Nurse Practitioner | 1936 W Poplar Ave, Collierville, TN 38017-0605 | 2008-12-04 |
| 1700952264 | Alice C Mcdonald | Nurse Practitioner | 1125 Schilling Blvd E, Suite 105, Collierville, TN 38017-7078 | 2006-11-27 |
| 1619998259 | Laurie Barton | Nurse Practitioner | 335 Poplar View Ln E Ste 1, Collierville, TN 38017-3192 | 2006-07-21 |
| Find all providers in COLLIERVILLE | ||||
| City | COLLIERVILLE |
| Zip Code | 38017 |
Please comment or provide details below to improve the information on MRS. TWANNA EVETTE 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.