DR. TERESA DANIELLE JACKSON (NPI# 1477881696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477881696 |
Entity Type | Individual |
Full Name | DR. TERESA DANIELLE JACKSON |
Credential | D.C. |
Practice Address |
5304 Panola Industrial Blvd Ste E Decatur GA 30035-4065 |
Mailing Address |
15 Gum Creek Lndg Oxford GA 30054-2743 |
Practice Telephone | 4044455032 |
Practice Fax Number | 4048457834 |
Mailing Telephone | (347) 893-0213 |
Mailing Fax Number | 7708170832 |
Enumeration Date | 2009-11-29 |
Last Update Date | 2017-07-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHIR008462 | GA | Chiropractic Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336485390 | Teresa Jackson | Rehabilitation Practitioner | 2244 Revere St, North Las Vegas, NV 89030-4011 | 2012-12-19 |
1972865442 | Teresa Alice Jackson | Contractor | 41 Green St, Valley Stream, NY 11580-4815 | 2012-06-11 |
1831317528 | Teresa B. Jackson | Pharmacist | Lower Level Reynolds Gym Wingate Road, Lower Level Reynolds Gym Wingate Road, Winston-salem, NC 27109 | 2007-04-20 |
1700982444 | Teresa L Jackson | Family Medicine | 17880 147th St Se, Monroe, WA 98272-1014 | 2006-09-16 |
1649744343 | Teresa M Jackson | Counselor | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2019-01-15 |
1306372842 | Teresa Lynne Jackson | Nurse Practitioner | 3450 N Rock Rd Ste 503, Wichita, KS 67226-1355 | 2017-05-03 |
1558780478 | Teresa Jackson | Spec/Tech, Pathology | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2014-04-08 |
1245582741 | Teresa B Jackson | Audiologist-Hearing Aid Fitter | 2001 Lincoln Dr W, Suite E, Marlton, NJ 08053-1531 | 2012-10-08 |
1194001677 | Teresa Leigh Jackson | Nurse Practitioner | 222 22nd Ave N, Suite 400, Nashville, TN 37203 | 2011-10-27 |
1700016300 | Teresa C Jackson | Nurse Practitioner | 2780 Bob Wallace Ave Sw, Huntsville, AL 35805-4104 | 2009-07-17 |
Street Address |
5304 PANOLA INDUSTRIAL BLVD STE E |
City | DECATUR |
State | GA |
Zip Code | 30035-4065 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972079978 | James L Vinson, Phd | Home Health Aide | 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 | 2018-10-17 |
1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
1578924924 | Alicia Marie Johnson Bryant | Social Worker | 5878 Covington Hwy, Decater, GA 30035 | 2016-03-14 |
1568865756 | Tracy Roberson | Counselor | 4150 Snapfinger Woods Drive, Decatur, GA 30035 | 2014-10-01 |
1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
1013255355 | Mervin E Williams | Pharmacist | 2075 South Hairston, Decatur, GA 30035 | 2013-01-22 |
1205187572 | Mariana Simpson-walker | Speech-Language Pathologist | 4262 Clausell Ct Ste A, Decatur, GA 30035 | 2012-09-27 |
1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
1568765824 | Salih Robinson | Health Educator | 2511 Lantrac Ct, Decatur, GA 30035 | 2010-12-08 |
1831428234 | Thomas Counseling | Counselor | 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 | 2009-12-14 |
Find all providers in zip 30035 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821621590 | Ericka Gonzalez-mercado | Chiropractor | 301 S Washburn St Ste D, Decatur, TX 76234-1658 | 2020-02-20 |
1811531684 | Kealy Olvera | Chiropractor | 3910 Flat Shoals Pkwy, Decatur, GA 30034-7510 | 2019-11-04 |
1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
1437700515 | Cara Gilligan | Chiropractor | 409 Mead Rd Unit 3, Decatur, GA 30030-3639 | 2019-09-20 |
1164078440 | Jodi K Green | Chiropractor | 2418 Danville Rd Sw Ste C, Decatur, AL 35603-4278 | 2019-08-13 |
1134771389 | Keysa Bailey | Chiropractor | 1089 Columbia Dr, Decatur, GA 30030-4728 | 2019-07-09 |
1245798545 | Xavier Ortiz Valle | Chiropractor | 1585 Church St Ste 665, Decatur, GA 30033-6059 | 2019-03-05 |
1619434388 | Peter William Vercellino | Chiropractor | 3350 N Water St Ste A, Decatur, IL 62526-2353 | 2019-02-28 |
1891268439 | Timothy A Peck Dc PC | Chiropractor | 2934 Point Mallard Pkwy Se # B2, Decatur, AL 35603-5700 | 2019-01-07 |
1487046066 | Haley Wilkins | Chiropractor | 2605 Danville Rd Sw, Decatur, AL 35603-4216 | 2015-02-19 |
Find all providers in DECATUR |
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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.