BLAKE JACKSON


Address: 8132 Cordova Rd, Suite 102, Cordova, TN 38016-6005
Phone: 9017510939

BLAKE JACKSON (NPI# 1467837591) 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) 1467837591
Entity Type Individual
Full Name BLAKE JACKSON
Credential D.C.
Practice Address 8132 Cordova Rd
Suite 102
Cordova
TN 38016-6005
Practice Telephone 9017510939
Practice Fax Number 9017510332
Mailing Telephone 9017510939
Mailing Fax Number 9017510332
Enumeration Date 2015-07-30
Last Update Date 2015-07-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 0000002850 TN Chiropractic Providers

Office Location

Street Address 8132 CORDOVA RD
SUITE 102
City CORDOVA
State TN
Zip Code 38016-6005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912929365 Jeffrey Hall Anesthesiology 8132 Cordova Rd, Cordova, TN 38016 2006-07-24
1326526930 Spectrum Pain Clinics Inc. Pain Medicine 8132 Cordova Rd, Cordova, TN 38016-6005 2018-08-06
1588103030 Blues City Therapy and Rehab Pllc General Practice 8132 Cordova Rd, Ste 103, Cordova, TN 38016-6005 2017-02-16
1124565999 West Clinic, P. C. Internal Medicine 8132 Cordova Rd, Suite 101, Cordova, TN 38016-6005 2017-01-31
1750824769 Matthew Sheppard Chiropractor 8132 Cordova Rd, Suite 102, Cordova, TN 38016-6005 2016-11-22
1528444528 Rebecca Ralph Jones Nurse Practitioner 8132 Cordova Rd, Cordova, TN 38016 2015-08-03
1073935425 Charles Mason Registered Nurse 8132 Cordova Rd, Suite 102, Cordova, TN 38016-6005 2014-01-19
1376792192 Kristin Wilson Nurse Practitioner 8132 Cordova Rd, Cordova, TN 38016 2008-09-17
1316137243 Spinal Health Care Associates, P.C. Chiropractor 8132 Cordova Rd, Suite 102, Cordova, TN 38016-6005 2007-07-26
1871663773 Jason D Coleman Chiropractor 8132 Cordova Rd, Suite 102, Cordova, TN 38016-6005 2006-11-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548886872 Megan Scott Bolton Physical Therapist 8110 Cordova Road Suite 107, Cordova, TN 38016 2020-06-23
1477195451 Jacqueline Reeves Thomas Counselor Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 2019-10-11
1376195842 Robert Cody Heismann Physical Therapist 8110 Cordova Rd, Ste 107, Cordova, TN 38016 2019-07-15
1881189702 Carolyn Bean Home Health Aide 1786 Beaver Trail Dr, Cordova, TN 38016 2018-06-22
1255776886 Suzanne Elaine Baker Family Medicine 2257 North Germantown Parkway, Memphis, TN 38016 2013-05-09
1487806683 Janet Lee Ferrell Counselor 1340 Siskin Drive, Cordova, TN 38016 2008-10-21
1114186624 Rebecca L Bills Optometrist 1795 N Germantown Pkwy, Cordova, TN 38016 2008-06-09
1679784128 Linda Kay Yates Emergency Medicine 1401 Dexter Lane, Cordova, TN 38016 2007-05-25
1417168386 Healthquest Psychiatry & Neurology 58 Timber Creek, Cordova, TN 38016 2007-05-24
1114079795 Barbara T Henking Psychologist 8134 Country Village, #102, Cordova, TN 38016 2007-01-17
Find all providers in zip 38016

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154951408 Richard Donald Bingham Chiropractor 622 1st Street, 201, Cordova, AK 99574 2020-01-24
1477197598 Chiro-r-us Chiropractor 8014 Club Center Dr Ste 5, Cordova, TN 38016-8666 2019-10-31
1609418086 Memphis Regenerative Healthcare LLC Chiropractor 7981 Dexter Rd Ste 101, Cordova, TN 38016-8798 2019-10-17
1730655663 Memphis Spine and Sport Chiropractor 1740 N Germantown Pkwy Ste 6, Cordova, TN 38016-3308 2018-10-18
1568811453 Christopher Gross Chiropractor 8181 Emerald Creek Ln, # 201, Cordova, TN 38016-2071 2016-06-10
1821254210 Jared M Wootton Chiropractor 680 N Germantown Pkwy, Suite 44, Cordova, TN 38018-6282 2008-08-05
1336268812 Dale Ford Smith Chiropractor 7981 Dexter Rd, Suite 101, Cordova, TN 38016-8798 2007-03-28
1265564629 Terry L Bartley Chiropractor 105 Council Ave W, Cordova, AK 99574-0579 2007-03-12
1114064037 Bobby L. Myers II Chiropractor 830 N Germantown Pkwy, Suite 109, Cordova, TN 38018-6265 2007-01-31
1568530038 Audra Arstikaitis-nagel Chiropractor 256 Germantown Bend Cv., Suite 103, Cordova, TN 38018 2006-12-01
Find all providers in CORDOVA

Competitor

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City CORDOVA
Zip Code 38016

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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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