MRS. TREENA W JACKSON (NPI# 1417906827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417906827 |
| Entity Type | Individual |
| Full Name | MRS. TREENA W JACKSON |
| Credential | FNP, MSN |
| Practice Address |
880 Madison Ave Memphis TN 38103-3409 |
| Mailing Address |
877 Jefferson Ave Memphis TN 38103-2807 |
| Practice Telephone | 9015153500 |
| Practice Fax Number | 9015153509 |
| Mailing Telephone | 9015456286 |
| Mailing Fax Number | 9015458122 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN0000101380 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN7037 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2574 Frayser Blvd, Memphis, TN 381275829 | 9013024361 | 8653420121 |
| Street Address |
880 MADISON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053394155 | Roberto Levi-d'ancona | Obstetrics & Gynecology | 880 Madison Ave, Memphis, TN 38103-3409 | 2005-11-22 |
| 1881212132 | Muhammad Hamid | Internal Medicine | 880 Madison Ave, Memphis, TN 38103-3409 | 2020-07-13 |
| 1568081669 | Jenifer Chang | Dietitian, Registered | 880 Madison Ave, Memphis, TN 38103-3409 | 2020-04-09 |
| 1598395089 | Amy Metcalfe Smith | Pharmacist | 880 Madison Ave, Memphis, TN 38103-3409 | 2020-01-23 |
| 1497316301 | Alicia Verona Wilson | Nurse Practitioner | 880 Madison Ave, Memphis, TN 38103-3409 | 2019-06-23 |
| 1669937835 | Fatima Anmol Iqbal Khan | Physician Assistant | 880 Madison Ave, Memphis, TN 38103-3409 | 2019-02-01 |
| 1932663911 | Maria Renee Hallford | Registered Nurse | 880 Madison Ave, Memphis, TN 38103-3409 | 2019-01-24 |
| 1295289049 | Crystal Walker | Nurse Practitioner | 880 Madison Ave, Memphis, TN 38103-3409 | 2016-08-10 |
| 1386096279 | Amanda Lynn Williams | Advanced Practice Midwife | 880 Madison Ave, Memphis, TN 38103-3409 | 2016-07-05 |
| 1568818938 | Sunbal Ashraf | Psychiatry & Neurology | 880 Madison Ave, Memphis, TN 38103-3409 | 2016-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1245837533 | Sandra Dee Garrison | Nurse Practitioner | 335 Lillian Dr, Memphis, TN 38109-4431 | 2020-10-08 |
| 1972119527 | Oneka E Poindexter | Nurse Practitioner | 86 N Rembert St, Memphis, TN 38104-2766 | 2020-09-18 |
| 1295346260 | Jimarie Nelson | Nurse Practitioner | 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 | 2020-08-13 |
| 1346869187 | Tollaria Williams | Nurse Practitioner | 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 | 2020-04-12 |
| 1497388912 | Michelle Denise Jones | Nurse Practitioner | 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 | 2020-02-13 |
| 1336781657 | J Wilson Health LLC | Nurse Practitioner | 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 | 2019-10-09 |
| 1265081574 | Natalie Staten | Nurse Practitioner | 7651 Shelby Forest Cv, Memphis, TN 38125-2822 | 2019-09-09 |
| 1881247740 | Mekeilah Nevaun Johnson | Nurse Practitioner | 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 | 2019-07-19 |
| 1205488087 | Wendy Powell | Nurse Practitioner | 1407 Union Ave Ste 405, Memphis, TN 38104-3627 | 2019-07-12 |
| Find all providers in MEMPHIS | ||||
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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.