DR. TERRY LYNN JACKSON


Address: 4922 General Ashley Dr, Bossier City, LA 71112-4764
Phone: 3184702465

DR. TERRY LYNN JACKSON (NPI# 1366056871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366056871
Entity Type Individual
Full Name DR. TERRY LYNN JACKSON
Credential DNP, ACNPC-AG
Practice Address 4922 General Ashley Dr
Bossier City
LA 71112-4764
Practice Telephone 3184702465
Mailing Telephone 3184702465
Enumeration Date 2020-09-02
Last Update Date 2020-09-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
200793 LA Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 4922 GENERAL ASHLEY DR
City BOSSIER CITY
State LA
Zip Code 71112-4764

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154810349 Brittany Ariel Boone Case Manager/Care Coordinator 2323 Old Minden Rd Ste 500, Bossier City, LA 71112 2018-05-03
1396254520 Abartllc Non-emergency Medical Transport (VAN) 400 John Wesley Blvd Apt 195, Bossier City, LA 71112 2017-09-19
1124547708 Kendra Webster Counselor 3018 Old Minden Rd. Ste 1200, Bossier City, LA 71112 2017-09-14
1851818009 Latonya Renee' Williams Case Manager/Care Coordinator 5383 Bluebell Dr, Bossier City, LA 71112 2017-08-28
1578084299 Christian Sledge Counselor 1011 Princeton Ave, Bossier City, LA 71112 2017-07-03
1861925240 Kyanna Williams Cosby Counselor 4009 Parkway Dr, Bossier City, LA 71112 2017-04-04
1962858191 Jemeel Latrice Webb Case Manager/Care Coordinator 1787 Southview Drive, Bossier City, LA 71112 2016-05-06
1174986244 Jaquitua Russell Case Manager/Care Coordinator 5005 Longstreet Pl Unit 1, Bossier City, LA 71112 2016-04-05
1528423175 Deanna Lorraine Edwards Contractor 4007 Parkway Dr, Bossier City, LA 71112 2015-12-28
1700258605 Derrick Thomas Counselor 2601 Hoyer St, Bossier City, LA 71112 2015-10-30
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285272641 Elizabeth Grace Robinson Nurse Practitioner 5717 Lake Side Dr, Bossier City, LA 71111-5509 2019-12-17
1144779091 Daniel Longino Nurse Practitioner 2400 Hospital Dr Ste 130, Bossier City, LA 71111-2386 2016-10-03
1306904412 Regina Renee Willis Nurse Practitioner 5015 Shed Rd Ste 500, Bossier City, LA 71111-5587 2006-12-04
1679126866 Emily Rene Maddox Nurse Practitioner 2400 Hospital Dr, Bossier City, LA 71111-2385 2019-07-17
1619363116 Lea J. Rimmer Nurse Practitioner 2400 Hospital Dr, Suite 340, Bossier City, LA 71111-2385 2015-04-10
1104172535 Stacey Wright Eaves Nurse Practitioner 2300 Hospital Dr, Ste. 450, Bossier City, LA 71111-2394 2012-08-03
1639406580 Erin Elizabeth Richard Nurse Practitioner 2400 Hospital Dr, Suite 420, Bossier City, LA 71111-2385 2009-11-13
1265526255 Paul Douglas Myers Nurse Practitioner 2400 Hospital Dr, Suite 340, Bossier City, LA 71111-2385 2006-10-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881293355 Sheronica V Simmons Nurse Practitioner 2751 Albert L Bicknell Dr Ste 3c, Shreveport, LA 71103-3943 2020-10-25
1699372169 Alexis Christian Nurse Practitioner 4319 Carter St, Vidalia, LA 71373-3152 2020-10-07
1669087607 Stella Yonga Nurse Practitioner 5913 Bocage Dr, Alexandria, LA 71303-2190 2020-09-15
1316410236 Tanya Nicole Slayter Nurse Practitioner 1811 E Bert Koun Loop Ste 210, Shreveport, LA 71105-5740 2019-01-03
1114402013 Hayley Mitchell Nurse Practitioner 200 W Esplanade Ave Ste 103, Kenner, LA 70065-2473 2018-09-27
1679061279 Antonya Williams Nurse Practitioner 9419 Amity Way, Shreveport, LA 71118-3601 2018-04-29
1073013702 Holly Holmes Leonhard Nurse Practitioner 648 Crestwood Dr, Covington, LA 70433 2018-02-19
1932649837 Stephanie Johnson Nurse Practitioner 37082 Agnes Webb Ave, Prairieville, LA 70769-3397 2017-02-27
1588108070 Jonathan Michael Faust Nurse Practitioner 1514 Jeffeson Hwy, New Orleans, LA 70121 2016-12-19
1861859761 Valerie Bernard Nurse Practitioner 4228 Houma Blvd Ste 530, Metairie, LA 70006-3017 2016-01-22
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Competitor

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City BOSSIER CITY
Zip Code 71112

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Dataset Information

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.

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