MRS. TARSHIA TIMOTHY-JACKSON


Address: 2703 Sterlington Rd Apt 76, Monroe, LA 71203-2547
Phone: 3184366002

MRS. TARSHIA TIMOTHY-JACKSON (NPI# 1417562711) 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) 1417562711
Entity Type Individual
Full Name MRS. TARSHIA TIMOTHY-JACKSON
Credential APRN
Practice Address 2703 Sterlington Rd Apt 76
Monroe
LA 71203-2547
Practice Telephone 3184366002
Mailing Telephone 3184366002
Enumeration Date 2020-09-13
Last Update Date 2020-09-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
207939 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2703 STERLINGTON RD APT 76
City MONROE
State LA
Zip Code 71203-2547

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1942825831 Kristyn Devun Squyres Nurse Practitioner 1401 N 18th St Ste A, Monroe, LA 71201-4972 2020-06-16
1629603337 Emily Rebecca Buddemeyer Nurse Practitioner 814 N Macomb St Ste 1, Monroe, MI 48162-3085 2020-03-03
1760015572 Jessica Marie Hartle Nurse Practitioner 730 N Macomb St Ste 228, Monroe, MI 48162-3087 2020-02-20
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Competitor

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City MONROE
Zip Code 71203

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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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