MRS. ALICE LOUISE JACKSON (NPI# 1366838906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366838906 |
| Entity Type | Individual |
| Full Name | MRS. ALICE LOUISE JACKSON |
| Credential | RN |
| Practice Address |
300 Hospital Drive Fort Gordon, Georgia Fort Gordon GA 30905 |
| Mailing Address |
300 Hospital Drive East Fort Gordon GA 30905 |
| Practice Telephone | 7067876692 |
| Mailing Telephone | 7067876692 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN062766 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090813 | Alice Jackson | Technician | 1389 Gordon Rd, Moreland, GA 30259-2541 | 2019-08-28 |
| 1295754109 | Alice Jackson | Nurse Practitioner | 6121 N Thesta, Suite 303, Fresno, CA 93710-5294 | 2006-07-19 |
| 1538654140 | Alice Jackson | Physical Therapist | 800 N Lake Dr, Lexington, SC 29072-2903 | 2018-06-26 |
| 1285913566 | Alice Marie Jackson | Nurse Practitioner | 2690 Madison St, Suite 130, Clarksville, TN 37043-5975 | 2011-08-04 |
| Street Address |
300 HOSPITAL DRIVE FORT GORDON, GEORGIA |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730177965 | Jason Seton Lanham | Family Medicine | 300 Hospital Drive, Family Medicine Clinic, Fort Gordon, GA 30905-5650 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1760804470 | Kathleen Franey | Registered Nurse | 300 Hospital Blvd, Ddeamc, Fort Gordon, GA 30905 | 2014-01-15 |
| 1063840908 | Pamela Bixler | Registered Nurse | 300 W Hospital Rd # 12, Fort Gordon, GA 30905-5741 | 2013-10-30 |
| 1336291871 | Amanda Q Rabun | Registered Nurse | 300w Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2007-01-17 |
| 1588647341 | Alison Camille Murray | Registered Nurse | 300 E. Hospital Rd, Rm 5b-43, Fort Gordon, GA 30905 | 2005-11-26 |
| 1447626916 | Christopher Morgan Fortner | Registered Nurse | 300 East Hospital Road, Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2015-08-19 |
| 1326438300 | Cris Hightower | Registered Nurse | 300 Hospital Road, Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA 30905 | 2015-01-29 |
| 1992112718 | Jacquelene Hamer-mcghee | Registered Nurse | 300 E. Hospital Rd, Fort Gordon, GA 30905-5741 | 2014-07-14 |
| 1053749010 | Debra Williams | Registered Nurse | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2013-10-29 |
| 1518394592 | Carol Yow Crenshaw | Registered Nurse | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2013-10-04 |
| 1164859559 | Melinda Rathbone | Registered Nurse | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2013-10-01 |
| Find all providers in FORT GORDON | ||||
| City | FORT GORDON |
| Zip Code | 30905 |
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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.