ANCELLE JACKSON (NPI# 1477027373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477027373 |
| Entity Type | Individual |
| Full Name | ANCELLE JACKSON |
| Credential | APRN |
| Practice Address |
4220 Plantation Oaks Blvd Unit 1812 Orange Park FL 32065-3547 |
| Practice Telephone | 9043867374 |
| Mailing Telephone | 9043867374 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 11000926 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4220 PLANTATION OAKS BLVD UNIT 1812 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32065-3547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709514 | Gardner Orthodontics | Dentist | 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 | 2020-01-08 |
| 1093366205 | Milagros J Morales | Nurse Practitioner | 625 Oakleaf Plantation Parkway, Unit 815, Orange Park, FL 32065 | 2019-09-28 |
| 1396239570 | Rebekah Lynne Fronczak | Assistant Behavior Analyst | 575 Oakleaf Plantation Pkwy, 1210, Orange Park, FL 32065 | 2018-06-20 |
| 1124512942 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 1081 Oakleaf Plantation Pkwy, Orange Park, FL 32065 | 2018-06-15 |
| 1447637772 | Petergay Angeleque Sterling | Counselor | 2114 Club Lake Drive, Orange Park, FL 32065 | 2015-05-06 |
| 1073942991 | Joy L. Dozier Smith | Social Worker | 1363 Akron Oaks Drive, Orange Park, FL 32065 | 2013-11-01 |
| 1942635800 | Demetta Vereen | Counselor | 573 Oakleaf Plantation Pkwy Unit 126, Orange Park, FL 32065 | 2013-09-11 |
| 1902248412 | Bashar Adeinat | Dentist | 1340 Blanding Blvd Ste 108, Orange Park, FL 32065 | 2013-07-25 |
| 1912253030 | Physical Therapy and Rehabilitation Clinic Inc | Physical Therapist | 1075 Oakleaf Plantation Parkway, Suite 105, Orange Park, FL 32065 | 2012-07-26 |
| 1275894529 | Stacy Quinn | Family Medicine | 769 Blanding Blvd Ste 7, Orange Park, FL 32065 | 2012-06-04 |
| Find all providers in zip 32065 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943587 | Baylee Joudi | Nurse Practitioner | 1680 Eagle Harbor Pkwy Ste A&c, Orange Park, FL 32003-4821 | 2020-05-07 |
| 1568097129 | Rosangelly Colon-torres | Nurse Practitioner | 1188 Bedrock Dr, Orange Park, FL 32065-5234 | 2020-03-04 |
| 1447895487 | Christina Phillips | Nurse Practitioner | 730 Camp Francis Johnson Rd, Orange Park, FL 32065-5811 | 2019-11-13 |
| 1588121818 | Molesha Cooke | Nurse Practitioner | 3467 Biltmore Way, Orange Park, FL 32065-2286 | 2019-02-22 |
| 1992261044 | Nicole Juline Wissel | Nurse Practitioner | 3766 Timberline Dr, Orange Park, FL 32065-2503 | 2019-02-13 |
| 1568942092 | Immaculee Nyirasuku | Nurse Practitioner | 3205 Bear Run Blvd, Orange Park, FL 32065-7334 | 2018-08-15 |
| 1518473370 | Runelon Alcudia | Nurse Practitioner | 2140 Kingsley Ave Ste 14, Orange Park, FL 32073-5129 | 2017-12-15 |
| 1508388240 | Bradley Neal Taylor | Nurse Practitioner | 1893 Kingsley Ave Ste C&d, Orange Park, FL 32073-4491 | 2017-07-14 |
| 1659777480 | Iselis Garcia | Nurse Practitioner | 1465 Kingsley Ave Ste 1101, Orange Park, FL 32073-4504 | 2014-11-05 |
| 1699003137 | Keisha Pugh | Nurse Practitioner | 1996 Kingsley Aveune, Orange Park, FL 32073 | 2009-11-20 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32065 |
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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.