ALICIA MICHELLE JACKSON (NPI# 1346856408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346856408 |
| Entity Type | Individual |
| Full Name | ALICIA MICHELLE JACKSON |
| Practice Address |
605 W Campbell Rd Richardson TX 75080-3302 |
| Mailing Address |
716 Saddlebrook Desoto TX 75115-4325 |
| Practice Telephone | 9722313522 |
| Mailing Telephone | 8173003690 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP145482 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235786377 | Alicia Nykia Jackson | Nurse Practitioner | 3060 Windward Way, Miramar, FL 33025-4293 | 2019-08-22 |
| 1689913147 | Alicia Jackson | Counselor | 79 W Alexandrine, Detroit, MI 48201-2015 | 2013-02-04 |
| 1972876555 | Alicia Jackson | Registered Nurse | 10731 130th St, South Richmond Hill, NY 11419-3131 | 2012-02-13 |
| 1992964373 | Alicia Jackson | Case Manager/Care Coordinator | 1027 Audubon Pkwy, Louisville, KY 40213-1303 | 2008-06-02 |
| 1780237099 | Alicia Jeree Jackson | Counselor | 901 Us Highway 68 Ste 900, Maysville, KY 41056-9190 | 2019-07-17 |
| 1609431667 | Alicia Jackson | Health Educator | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2019-05-06 |
| 1912386525 | Alicia M. Jackson | Counselor | 6707 Embarcadero Dr, Stockton, CA 95219-3382 | 2015-05-28 |
| 1710381256 | Alicia Renee Jackson | Dentist | 65 Broadway Ste 901, New York, NY 10006-2535 | 2014-10-13 |
| 1902245988 | Alicia J Jackson | Massage Therapist | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2013-06-23 |
| 1659622975 | Alicia Jackson | Counselor | 720 14th Ave., Longview, WA 98632 | 2012-09-26 |
| Street Address |
605 W CAMPBELL RD |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75080-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033213863 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 605 W Campbell Rd, Richardson, TX 75080-3302 | 2006-09-12 |
| 1932715133 | Jennifer Michelle Boswell | Nurse Practitioner | 605 W Campbell Rd, Richardson, TX 75080-3302 | 2020-09-22 |
| 1881195337 | Susan Nyambura Kinyanjui | Nurse Practitioner | 605 W Campbell Rd, Richardson, TX 75080-3302 | 2018-02-21 |
| 1497120265 | Oluyemi Sholebo | Nurse Practitioner | 605 W Campbell Rd, Richardson, TX 75080-3302 | 2015-12-04 |
| 1922335827 | Blen Tesfayesus | Nurse Practitioner | 605 W Campbell Rd, Richardson, TX 75080-3302 | 2009-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684717 | Ragan Jones Morales | Counselor | 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 | 2020-09-23 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1083109342 | Amy Viloria | Occupational Therapy Assistant | 417 W Arapaho Rd, Richardson, TX 75080 | 2018-06-28 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| 1538686233 | Apex Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1701 N Collins Blvd Ste 230, Richardson, TX 75080 | 2017-08-24 |
| 1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
| 1093231649 | Twitches Iom Pllc | Electrodiagnostic Medicine | 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 | 2017-08-16 |
| 1639690340 | Faith Mbarathi | Technician, Other | 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 | 2017-07-03 |
| 1063933083 | Drew Marie Harvick | Technician, Other | 1702 North Collins Blvd Suite 250, Richardson, TX 75080 | 2017-06-29 |
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| Find all providers in zip 75080 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817703 | Comfort Chidinma Uche | Nurse Practitioner | 411 Buckingham Rd Apt 1426, Richardson, TX 75081-5790 | 2020-10-06 |
| 1841802527 | Winona Tzou | Nurse Practitioner | 911 Sunningdale, Richardson, TX 75081-5146 | 2020-08-23 |
| 1215552658 | Linda Varghese | Nurse Practitioner | 651 Matthew Pl, Richardson, TX 75081-5074 | 2020-06-11 |
| 1306482492 | Janna Kwon Chun | Nurse Practitioner | 399 W Campbell Rd Ste 212, Richardson, TX 75080-3606 | 2019-11-23 |
| 1518430206 | Gertie Silva | Nurse Practitioner | 2201 N Central Expy Ste 270, Richardson, TX 75080-2718 | 2019-01-06 |
| 1922575737 | Nicholas Oliver Berezich | Nurse Practitioner | 234 W Campbell Rd, Richardson, TX 75080-3512 | 2018-10-30 |
| 1932691680 | Kristin Leigh Fitzhugh | Nurse Practitioner | 1301 W President George Bush Hwy Ste 200, Richardson, TX 75080-1137 | 2018-05-30 |
| 1316447360 | Lori Thompson | Nurse Practitioner | 413 Valley Cove Dr, Richardson, TX 75080-1844 | 2018-02-16 |
| 1093220402 | Ebonie Pankey | Nurse Practitioner | 2013 Sage Valley Dr, Richardson, TX 75080-2326 | 2017-12-07 |
| 1184148207 | Frances Ifeyinwa Aniakor | Nurse Practitioner | 3911 Harlington Ln, Richardson, TX 75082-3655 | 2017-07-31 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75080 |
Please comment or provide details below to improve the information on ALICIA MICHELLE 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.