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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649888223 | Terry Lamont Jackson | Specialist | 1101 E Yandell Dr, El Paso, TX 79902-5524 | 2020-07-20 |
1235569849 | Terry Jackson | Respite Care | 6605 S 18th Dr, Phoenix, AZ 85041-5841 | 2013-11-18 |
1790281830 | Terry L. Jackson | Registered Nurse | 2052 S Dye Rd, Flint, MI 48532-4122 | 2018-04-05 |
1447590468 | Terry Elizabeth Jackson | Counselor | 6801 Us Highway 27 N, Suite A2, Sebring, FL 33870-7840 | 2013-02-28 |
1588736771 | Terry L Jackson | Dentist | 121 West Main Street, Watertown, TN 37184 | 2006-11-14 |
1811067606 | Terry Lewis Jackson | Counselor | 17 W Water St, Pinckneyville, IL 62274-1027 | 2006-11-08 |
1932106234 | Terry S Jackson | Internal Medicine | 560 W Mitchell St, Suite 300, Petoskey, MI 49770-2275 | 2005-06-30 |
Street Address |
4922 GENERAL ASHLEY DR |
City | BOSSIER CITY |
State | LA |
Zip Code | 71112-4764 |
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 |
Find all providers in zip 71112 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | BOSSIER CITY |
Zip Code | 71112 |
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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.