NICHOLAS JACKSON (NPI# 1356954440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356954440 |
| Entity Type | Individual |
| Full Name | NICHOLAS JACKSON |
| Credential | BA |
| Practice Address |
2500 North State St. Preventive Medicine Department Jackson MS 39216 |
| Practice Telephone | 6018158982 |
| Mailing Telephone | 6018158982 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578977559 | Nicholas T Jackson | Chiropractor | 99 Regency Pkwy Ste 211, Mansfield, TX 76063-7819 | 2014-06-17 |
| 1528670916 | Nicholas Dwayne Jackson | Pharmacist | 201 Laurel Ave, Coeburn, VA 24293 | 2020-08-18 |
| 1245857945 | Nicholas Christopher Jackson | Physical Therapist | 6710 108th Ave Ne, Kirkland, WA 98033 | 2020-06-29 |
| 1306476619 | Nicholas Jackson | Specialist/Technologist | 1325 Williams St, Adrian, MI 49221-2563 | 2020-01-26 |
| 1750828554 | Nicholas Jeffrey Jackson | Nurse Practitioner | 701 S Olive Ave, 407, West Palm Beach, FL 33401-6104 | 2017-01-31 |
| 1205298387 | Nicholas Jackson | Surgery | 800 Rose St # C-246, Division of General Surgery, Lexington, KY 40536-7001 | 2016-03-28 |
| 1750765467 | Nicholas Jackson | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2015-07-13 |
| 1487052031 | Nicholas Jackson | Pharmacist | 941 Cherokee Dr Ste 1, Marshall, MO 65340-3646 | 2014-12-15 |
| 1538560651 | Nicholas Barclay Jackson | Student in an Organized Health Care Education/Training Program | 405 Central Ave, Northfield, IL 60093-3006 | 2014-09-08 |
| 1114234796 | Nicholas Jackson | Counselor | 2756 Post Rd, Warwick, RI 02886-3003 | 2010-09-03 |
| Street Address |
2500 NORTH STATE ST. PREVENTIVE MEDICINE DEPARTMENT |
| City | JACKSON |
| State | MS |
| Zip Code | 39216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437121134 | Neville R. Wichman | Radiology | 2500 North State St., Jackson, MS 39216 | 2006-02-06 |
| 1134743032 | Renee B. Hope | Dietitian, Registered | 2500 North State St., Abdominal Transplant Room H310, Jackson, MS 39216 | 2020-06-05 |
| 1730491556 | Damon Allen Darsey | Emergency Medicine | 2500 North State St., Dept. of Emergency Medicine, Jackson, MS 39216 | 2010-07-09 |
| 1356416556 | Neva Penton Eklund | Dentist | 2500 North State St., School of Dentistry Dept of Ped and Pub Health Dent, Jackson, MS 39216-4505 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843590 | Angela Deberry | Health Educator | 541 Wiley Parker Rd, Jackson, TN 38305-2226 | 2020-05-20 |
| 1649774522 | Erica Thompson | Health Educator | 1230 Raymond Rd Ste 600, Jackson, MS 39204-4579 | 2018-03-23 |
| 1346637865 | Vitality Clinic | Health Educator | 111 N. Missouri Street, Jackson, MO 63755 | 2015-04-22 |
| 1518580679 | Gwen Ragland | Health Educator | 460 N Parkway, Jackson, TN 38305-2818 | 2020-05-24 |
| 1720601164 | William R Lovelady | Health Educator | 541 Wiley Parker Rd, Jackson, TN 38305-2226 | 2020-05-20 |
| 1194363820 | Candice Brea Cole | Health Educator | 2500 N State St, Jackson, MS 39216-4500 | 2019-12-12 |
| 1104463306 | Chad Lige | Health Educator | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-12-06 |
| 1356906648 | Mireya Alexander | Health Educator | 1230 Raymond Rd, Jackson, MS 39204-4583 | 2019-05-02 |
| 1114421021 | Magnolia Medical Foundation | Health Educator | 1230 Raymond Rd Ste 600, Jackson, MS 39204-4579 | 2018-03-23 |
| 1770087140 | Judy L Davis | Health Educator | 2863 Highway 45 Byp, Jackson, TN 38305-3618 | 2018-03-21 |
| Find all providers in JACKSON | ||||
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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.