MRS. PATRICIA NICHOLE JACKSON (NPI# 1457609554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457609554 |
Entity Type | Individual |
Full Name | MRS. PATRICIA NICHOLE JACKSON |
Credential | NP-C |
Practice Address |
1310 N Main St Suite 209 Sandwich IL 60548-1394 |
Practice Telephone | 8157861967 |
Mailing Telephone | 8157861967 |
Enumeration Date | 2012-08-21 |
Last Update Date | 2012-08-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209009753 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104458496 | Patricia A Jackson | Behavior Technician | 10252 S Hwy 441, Unit 3, Belleview, FL 34420 | 2020-02-05 |
1003396185 | Patricia Jackson | Licensed Vocational Nurse | 24310 Forest Canopy Dr, Katy, TX 77493-3088 | 2018-08-17 |
1023377967 | Patricia Renee Jackson | Dentist | 191 Highway and Hospital Road, Chinle, AZ 86503 | 2012-05-13 |
1306059548 | Patricia L Jackson | Home Health Aide | 11379 E Pike Rd, Cambridge, OH 43725-9162 | 2007-05-07 |
1902027329 | Patricia Jackson | Physical Therapist | 307 7th St E, Lehigh Acres, FL 33936-3970 | 2007-05-02 |
1396888335 | Patricia Ann Jackson | Social Worker | 420 Mink Pl, Abingdon, VA 24210-3426 | 2007-02-15 |
1427132422 | Patricia Suzanne Jackson | Family Medicine | 225 Von Karman Ave, Tullahoma Va Clinic, Arnold Afb, TN 37389 | 2006-10-25 |
1710081823 | Patricia Ann Jackson | Chiropractor | 225 3rd St, Batesville, AR 72501 | 2006-09-11 |
1073525150 | Patricia L Jackson | Nurse Practitioner | 1252 N 22nd St Unit A, Laramie, WY 82072-5306 | 2006-08-13 |
1376557702 | Patricia L Jackson | Nurse Practitioner | 230 W Catalpa Dr, Suite D, Mishawaka, IN 46545-8321 | 2006-07-28 |
Street Address |
1310 N MAIN ST SUITE 209 |
City | SANDWICH |
State | IL |
Zip Code | 60548-1394 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740545300 | Lucas Winterhalter | Specialist | 1310 N Main St, Suite 100, Sandwich, IL 60548-1394 | 2012-07-10 |
1225397532 | Lindsey Dunsheath | Nurse Practitioner | 1310 N Main St, Suite 209, Sandwich, IL 60548-1394 | 2012-05-07 |
1063674711 | Fresenius Medical Care Sandwich, LLC | Clinic/Center | 1310 N Main St, Suite 105, Sandwich, IL 60548 | 2008-06-25 |
1871785402 | John F. Lacart | Orthopaedic Surgery | 1310 N Main St, Suite 100, Sandwich, IL 60548-1394 | 2007-08-17 |
1942320494 | Allen Kao | Physical Medicine & Rehabilitation | 1310 N Main St, Suite 100, Sandwich, IL 60548-1394 | 2007-03-29 |
1679660179 | Trinity Women's Health Care Sc | Obstetrics & Gynecology | 1310 N Main St, Suite 209, Sandwich, IL 60548-1394 | 2006-10-06 |
1801816277 | Ann Luise West | Obstetrics & Gynecology | 1310 N Main St, Suite 209, Sandwich, IL 60548-1394 | 2006-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366954166 | Northern Rehabilitation and Sports Medicine Associates | Physical Therapist | 523 E. Railroad Street, Suite A, Sandwich, IL 60548 | 2017-11-02 |
1538683040 | Ariel Eads | Counselor | 207 E Church St Unit A, Sandwich, IL 60548 | 2017-07-27 |
1093169138 | Kimberly S Miner | Acupuncturist | 100 South Latham Street, Suite 103b, Sandwich, IL 60548 | 2016-04-14 |
1316304058 | Dekalb Behavioral Health Foundation, Inc. | Clinic/Center | 100 S Latham St Ste 204, Sandwich, IL 60548 | 2016-01-26 |
1215006200 | Robert C Lerohl | Dentist | 430 S. Dayton Street, Sandwich, IL 60548 | 2006-11-06 |
1609950641 | Joseph Jimenez | Chiropractor | 823 E Church St, Sandwich, IL 60548 | 2006-10-25 |
1104919703 | Pharmacy Operations, Inc | Pharmacy | 142 Indian Springs Drive, Sandwich, IL 60548 | 2006-10-02 |
1902911076 | Jason Lee Robinson | Physical Therapist | 710 E Railroad St, Sandwich, IL 60548 | 2006-08-20 |
1982719209 | Anchor Dental Center Ltd | Dentist | 100 S Latham St, Sandwich, IL 60548 | 2006-08-19 |
1376566745 | Sandwich Community Fire Protection District | Ambulance | 310 E Railroad St, Sandwich, IL 60548 | 2006-07-25 |
Find all providers in zip 60548 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801354410 | Yolanda Chenoweth | Nurse Practitioner | 1310 N Main St Ste 209, Sandwich, IL 60548-1396 | 2019-03-04 |
1578089512 | Lindsay Mae Trudeau | Nurse Practitioner | 90 Route 6a Unit 5a, Sandwich, MA 02563-5301 | 2017-08-22 |
1366999864 | Krista Quick | Nurse Practitioner | 74 Route 6a, Sandwich, MA 02563-1864 | 2016-09-01 |
1518330919 | Patricia Ann Scanlon | Nurse Practitioner | 74 Route 6a, Sandwich, MA 02563-1864 | 2015-11-06 |
1134596778 | Erin Macneill | Nurse Practitioner | 74 Route 6a, Sandwich, MA 02563-1864 | 2015-08-31 |
1225397532 | Lindsey Dunsheath | Nurse Practitioner | 1310 N Main St, Suite 209, Sandwich, IL 60548-1394 | 2012-05-07 |
1457418329 | Jenise Ervin | Nurse Practitioner | 142 Indian Springs Dr, Sandwich, IL 60548-1902 | 2007-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MRS. PATRICIA NICHOLE JACKSON.
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.