INAISHA MARIE JACKSON (NPI# 1386005460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386005460 |
| Entity Type | Individual |
| Full Name | INAISHA MARIE JACKSON |
| Other Name | INAISHA M JACKSON |
| Credential | APN |
| Practice Address |
Rutgers, University Behavioral Health Care Bates Building, 2nd Floor Trenton NJ 08625863 |
| Mailing Address |
5450 Wissahickon Ave Apt A1103 Philadelphia PA 19144-5261 |
| Practice Telephone | 6092929700 |
| Mailing Telephone | 8625209487 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
26NJ00625000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 65 Bergen St, Stanley S. Bergen Building, Newark, NJ 071073001 | 9739724307 |
| Street Address |
RUTGERS, UNIVERSITY BEHAVIORAL HEALTH CARE BATES BUILDING, 2ND FLOOR |
| City | TRENTON |
| State | NJ |
| Zip Code | 08625863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205207339 | Robert Paul Eilers | Psychiatry & Neurology | 222 S. Warren Street, Trenton, NJ 08625 | 2015-10-15 |
| 1891957379 | Marina Moshkovich | Psychologist | Njsp Third and Cass Street, Trenton, NJ 08625 | 2008-06-26 |
| 1568659662 | Ifeoma Juliet Anwunah-okoye | Psychiatry & Neurology | Umdnj / University Correctional Hc C/o Njdoc, Colpitts Modular Unit, Box 863,whittlesey Rd., Trenton, NJ 08625 | 2007-10-02 |
| 1780888966 | Meroujan Ardziv Maljian | Psychiatry & Neurology | Umdnj-uchc-colpitts Modular Unit, Whittlesey Rd., Trenton, NJ 08625 | 2007-06-12 |
| 1093922320 | Erica Lynn Musser | Psychiatry & Neurology | Bates Building 2nd Floor Whittlesey Road, Uchc C/o Njdoc, Trenton, NJ 08625 | 2007-05-17 |
| 1356549661 | Nicole Marie Dorio | Psychiatry & Neurology | Third and Federal Streets, New Jersey State Prison, Trenton, NJ 08625-0861 | 2007-07-08 |
| 1750596607 | Jordan Lieberman | Psychiatry & Neurology | Uchc C/o Nj Doc, Whittlesey Rd & Stuyvesant Ave, Bates Building, 2nd Floor, Trenton, NJ 08625-0863 | 2007-05-14 |
| 1013017532 | Cecile Mckay | Internal Medicine | 200 Sullivan Way, West Trenton, NJ 08625-2306 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689102 | Foot and Soul | Podiatrist | 1 W State St, Trenton, NJ 08608-1205 | 2020-11-03 |
| 1225638885 | Adila Slaugther | Social Worker | 57 Wayne Ave Fl 2, Trenton, NJ 08618-3733 | 2020-10-31 |
| 1780282574 | Unique Care | Home Health | 925 Ne 11th Ave, Trenton, FL 32693-3627 | 2020-10-14 |
| 1891302808 | Trenton Family Chiropractic | Clinic/Center | 204 E State St, Trenton, OH 45067-1530 | 2020-09-24 |
| 1235744269 | Diana Gibson | In Home Supportive Care | 602 Meadow Ln, Trenton, OH 45067-1026 | 2020-09-15 |
| 1508471699 | Chelsey D Kloss | Physical Therapist | 980 E Broadway, Trenton, IL 62293-1442 | 2020-09-15 |
| 1437764859 | Edward Laub Md LLC | Internal Medicine | 2053 Klockner Rd, Trenton, NJ 08690-3413 | 2020-09-11 |
| 1649883000 | John Horvath | Emergency Medical Technician, Paramedic | 387 Cleveland St, Trenton, MI 48183-1206 | 2020-08-26 |
| 1902417801 | Mitch Elman | Home Health | 941 White Horse Ave Ste 20, Trenton, NJ 08610-1407 | 2020-08-13 |
| 1982212304 | On Your Side Family Services, LLC | Social Worker | 5508 Wilson St, Trenton, MI 48183-4745 | 2020-07-22 |
| Find all providers in TRENTON | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699135855 | Krista Marie Young | Nurse Practitioner | 715 W State St, Trenton, OH 45067-9220 | 2016-03-02 |
| 1518339225 | Danielle Daab | Nurse Practitioner | 40 Fuld St, Trenton, NJ 08638-5247 | 2015-10-21 |
| 1528456704 | Debra Angelina Checkler | Nurse Practitioner | 3700 West Rd, #1, Trenton, MI 48183-2243 | 2014-12-22 |
| 1215238456 | Anna L. Salapong | Nurse Practitioner | 750 Brunswick Ave, Trenton, NJ 08638-5247 | 2010-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780479 | Mae Lynne Tietje | Nurse Practitioner | 3830 Atlantic Ave, Atlantic City, NJ 08401-6080 | 2020-11-07 |
| 1710586987 | Rosemarie B Londono | Nurse Practitioner | 20 Prospect Ave Ste 600, Hackensack, NJ 07601-1962 | 2020-10-20 |
| 1063010940 | Shruti Satish Patel | Nurse Practitioner | 78 Diana Dr, South Plainfield, NJ 07080-4437 | 2020-10-13 |
| 1366049058 | Sedrina Taina Austin | Nurse Practitioner | 82 Poplar Ave, Hackensack, NJ 07601-4707 | 2020-10-06 |
| 1952912768 | Holly M Gonzalez | Nurse Practitioner | 240 Williamson St Ste 306, Elizabeth, NJ 07202-3672 | 2020-08-14 |
| 1073124327 | Queen K Aggrey | Nurse Practitioner | 1308 Wharton Rd, Mount Laurel, NJ 08054-5296 | 2020-08-11 |
| 1497365480 | Ann Margaret Prejs | Nurse Practitioner | 2401 Highway 35 Ste A, Manasquan, NJ 08736-1193 | 2020-08-04 |
| 1164046355 | Barbara Raymond | Nurse Practitioner | 776 Nixon Rd, Union, NJ 07083-7620 | 2020-06-03 |
| 1871112557 | Care First-choice | Nurse Practitioner | 302 Harrison Ave, Millville, NJ 08332-2408 | 2020-04-13 |
| 1568081461 | Melissa N Pagan | Nurse Practitioner | 128 Maple St, Jersey City, NJ 07304-3733 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
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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.