MEGHAN NICOLE JACKSON (NPI# 1336703974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336703974 |
| Entity Type | Individual |
| Full Name | MEGHAN NICOLE JACKSON |
| Practice Address |
21297 Olean Blvd Ste A Port Charlotte FL 33952-6704 |
| Mailing Address |
2675 Winkler Ave Fl 2floor Fort Myers FL 33901-9342 |
| Practice Telephone | 8559795700 |
| Mailing Telephone | 8778563774 |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN11001617 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599786 | Meghan E Jackson | Clinic/Center | 781 Bayridge Blvd, Willowick, OH 44095-4241 | 2020-02-06 |
| 1811543804 | Meghan Jackson | Social Worker | 223 Lancaster Way, Richmond Hill, GA 31324-4458 | 2019-08-14 |
| 1740832906 | Meghan Reid Jackson | Specialist/Technologist | 777 Summer Breeze Dr, Baton Rouge, LA 70810-6187 | 2019-07-09 |
| 1861719726 | Meghan E Jackson | Physical Therapist | 29255 Northwestern Hwy., Suite 300, Southfield, MI 48034-5742 | 2010-04-30 |
| 1558870774 | Meghan T Jackson | Counselor | 1100 New Britain Ave Ste 201, West Hartford, CT 06110-2447 | 2017-09-20 |
| 1225450422 | Meghan Jackson | Skilled Nursing Facility | 13550 S Outer 40 Rd, Chesterfield, MO 63017-5812 | 2014-01-08 |
| 1316235286 | Meghan Durrett Jackson | Speech-Language Pathologist | 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 | 2011-07-13 |
| 1407984768 | Meghan Genelle Jackson | Pediatrics | 3030 Randolph Rd, Suite 102, Charlotte, NC 28211-1368 | 2007-03-01 |
| Street Address |
21297 OLEAN BLVD STE A |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-6704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012978 | Curtis E Dedrick | Internal Medicine | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2005-06-09 |
| 1497398606 | Bernadette Serafini | Nurse Practitioner | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2019-10-21 |
| 1689160913 | Glodene Simone Roberts | Nurse Practitioner | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2018-07-10 |
| 1417457425 | Nicholas John Newbold Jr. | Nurse Practitioner | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2018-02-16 |
| 1245771815 | Pouria Haghighi Tajvar | Internal Medicine | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2017-03-16 |
| 1639520083 | Gabrielly Meurer Coatti | Internal Medicine | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2016-06-27 |
| 1255787370 | Monette Audath | Nurse Practitioner | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2016-05-07 |
| 1609230119 | Victor Manuel Pena | Family Medicine | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2016-04-11 |
| 1295196863 | James Ramirez | Nurse Practitioner | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2016-03-10 |
| 1952771347 | Denise Nicole Dampier | Physician Assistant | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2015-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041873 | Rychelle Nichole Magriby | Nurse Practitioner | 21229 Olean Blvd Ste D, Port Charlotte, FL 33952-6719 | 2020-10-26 |
| 1457906794 | Alana Hope Adler | Nurse Practitioner | 3400 Tamiami Trl Ste 201, Port Charlotte, FL 33952-8102 | 2019-08-05 |
| 1568935724 | Fides Bernasor Delart | Nurse Practitioner | 24420 Lakeview Pl, Port Charlotte, FL 33980-5235 | 2019-01-09 |
| 1679067425 | Dominica Ngozi Orisakwe | Nurse Practitioner | 3390 Tamiami Trl Ste 204, Port Charlotte, FL 33952-8162 | 2018-06-15 |
| 1083856256 | Linda Lurena Evans | Nurse Practitioner | 14170 Ingraham Blvd, Port Charlotte, FL 33981-3015 | 2009-04-02 |
| 1093967739 | Donna Olson | Nurse Practitioner | 1100 Loveland Boulevard, Port Charlotte, FL 33980 | 2008-10-14 |
| 1952337834 | Michael C Sempsrott | Nurse Practitioner | 4300 Kings Hwy Ste 210, Port Charlotte, FL 33980-2922 | 2006-06-23 |
| 1861480790 | William Lane Edwards Jr. | Nurse Practitioner | 4161 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-9204 | 2005-10-13 |
| 1255977369 | Amanda L Tollison | Nurse Practitioner | 3340 Tamiami Trl, Port Charlotte, FL 33952-8088 | 2019-11-24 |
| 1124583158 | Jennifer Lynn Azelton | Nurse Practitioner | 23013 Westchester Blvd, Port Charlotte, FL 33980-8448 | 2019-02-04 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
Please comment or provide details below to improve the information on MEGHAN NICOLE 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.