MRS. JACQUELYN MARIE JACKSON (NPI# 1366627002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366627002 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELYN MARIE JACKSON |
| Practice Address |
1609 Hiway 41 Mt Pleasant SC 29464 |
| Mailing Address |
Po Box 2522 Mt Pleasant SC 29464 |
| Practice Telephone | 8438701839 |
| Mailing Telephone | 8438701839 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 374U00000X | Home Health Aide | 120514E | Nursing Service Related Providers | |
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 376K00000X | Nurse's Aide | 120514E | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114451721 | Jacquelyn Jackson | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2017-04-20 |
| 1316267057 | Jacquelyn Chrisana Jackson | Family Medicine | 210 Franklin Rd, Brentwood, TN 37027 | 2010-06-04 |
| 1023278843 | Jacquelyn C. Jackson | Audiologist | 1690 Powder Springs Rd Sw, Suite 208, Marietta, GA 30064-4844 | 2008-06-16 |
| Street Address |
1609 HIWAY 41 |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245627116 | Janet Dauscher-laflamme | Nurse's Aide | 1084 Black Rush Cir, Mt Pleasant, SC 29466-8082 | 2015-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726581 | Destiny Smith | Nurse's Aide | 1520 Russell St Ste 101a, Orangeburg, SC 29115-6064 | 2020-10-07 |
| 1881201994 | Lakendra Charisse Tucker | Nurse's Aide | 1706 Bentley Ct, Columbia, SC 29210-3600 | 2020-09-23 |
| 1891313730 | Crystal Ann Jennings | Nurse's Aide | 322 Woodcrest Dr, York, SC 29745-2669 | 2020-07-08 |
| 1982228490 | Nakia Simons | Nurse's Aide | 115 Knox Abbott Dr, Cayce, SC 29033-4421 | 2020-06-01 |
| 1407483530 | Sally Ann Kennerly | Nurse's Aide | 300 Bluebell Ave, Summerville, SC 29483-3906 | 2020-03-26 |
| 1609401900 | Tysheika Wright | Nurse's Aide | 4242 Big Ben Ct, North Charleston, SC 29418-5562 | 2020-03-06 |
| 1811541824 | Gloria Curtis | Nurse's Aide | 2912 Wire 1 Rd, Cheraw, SC 29520 | 2019-07-29 |
| 1689134025 | Kyong Ann Jenkins | Nurse's Aide | 2178 Savannah Hwy Ste 108, Charleston, SC 29414-5311 | 2019-03-21 |
| 1649738048 | Eleanor Adams | Nurse's Aide | 119 Circle Dr, Georgetown, SC 29440-5521 | 2019-03-05 |
| 1881151710 | Shalon Caprice Steeps | Nurse's Aide | 61 Orr St, Greenville, SC 29605-4169 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
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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.