JILL KIMBERLY JACKSON (NPI# 1508183617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508183617 |
| Entity Type | Individual |
| Full Name | JILL KIMBERLY JACKSON |
| Credential | MD |
| Practice Address |
1435 Wyn Cove Dr Vero Beach FL 32963-2558 |
| Practice Telephone | 7035771002 |
| Mailing Telephone | 7035771002 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2016-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | ME | FL | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 269804 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581907 | Jill Elizabeth Jackson | Speech-Language Pathologist | 2935 Vista View Dr Apt 4, Beavercreek, OH 45431-8832 | 2020-09-03 |
| 1558815084 | Jill A Jackson | Registered Nurse | 504 Pacific Ave, Fort Lupton, CO 80621-1724 | 2016-08-12 |
| 1730559535 | Jill Jackson | Licensed Practical Nurse | 265 Kissel Ave, Staten Island, NY 10310-1623 | 2015-10-06 |
| 1649469685 | Jill E Jackson | Speech-Language Pathologist | 3099 Meadowbrook Blvd, #1, Cleveland Heights, OH 44118-2883 | 2007-10-16 |
| 1740318757 | Jill Robin Jackson | Counselor | 563 S. Water Ave., Suite E, Gallatin, TN 37066 | 2007-03-01 |
| 1790036846 | Jill Christine Jackson | Counselor | 215 S Grand Ave W, Springfield, IL 62704-3838 | 2012-09-28 |
| 1154538981 | Jill Michelle Jackson | Marriage & Family Therapist | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2007-05-17 |
| 1114040276 | Jill Jackson | Speech-Language Pathologist | N4901 Dam Rd, Delavan, WI 53115-2927 | 2007-04-06 |
| 1235265513 | Jill Jackson | Specialist | 1111 W 6th St, Suite # 111, Los Angeles, CA 90017-1800 | 2007-02-23 |
| 1740320506 | Jill J. Jackson | Social Worker | 225 Main St, Wenham, MA 01984-1459 | 2007-02-08 |
| Street Address |
1435 WYN COVE DR |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32963-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277127 | Gretchen Szentirmai | Physical Therapist | 2498 S Highway A1a, Vero Beach, FL 32963 | 2018-06-01 |
| 1013315431 | Coast Medical Centers, LLC | Clinic/Center | 1193 South Federal Highway, Vero Beach, FL 32963 | 2014-12-17 |
| 1861827966 | Nicholas T Woltjen | Physician Assistant | 5070 A1a, Vero Beach, FL 32963 | 2013-09-08 |
| 1326381369 | Thomas James Spackman | Radiology | 351 Westwind Ct, Vero Beach, FL 32963 | 2013-03-28 |
| 1457624066 | Don Robert Kelso | Surgery | 965 Lantern Lane, Vero Beach, FL 32963 | 2012-02-13 |
| 1386873388 | Herman Michael Fountain | Family Medicine | 917 Orchid Point Way, Vero Beach, FL 32963 | 2009-07-11 |
| 1780883322 | Yusuf M. Mihaylov | Acupuncturist | 5070 North Highwaya1a, Suite B, Vero Beach, FL 32963 | 2007-07-13 |
| 1700087186 | Maria De Francisci | Social Worker | 9525 W. Maiden Ct., Vero Beach, FL 32963 | 2007-05-31 |
| 1326267675 | Alana M Keough Humberson | Dentist | 3379 Ocean Drive, Vero Beach, FL 32963 | 2007-04-25 |
| 1053745364 | Adam Robert Jones | Dentist | 5070 Highway A1a, Suite E, Vero Beach, FL 32963 | 2013-08-23 |
| Find all providers in zip 32963 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811405277 | Dwic of Tampa Bay, Inc | Emergency Medicine | 1150 Us Highway 1, Vero Beach, FL 32960-9992 | 2018-01-18 |
| 1033485396 | Elisha Anne Montgomery | Emergency Medicine | 1155 17th Ln Sw, Vero Beach, FL 32962-6905 | 2012-03-30 |
| 1942249552 | Joseph Edward Deluca | Emergency Medicine | 3885 20th St, Suite E, Vero Beach, FL 32960-2428 | 2006-06-06 |
| 1003878653 | Philip Miles Buttaravoli | Emergency Medicine | 755 27th Ave Sw, Suite 9, Vero Beach, FL 32968-4200 | 2006-04-06 |
| 1295737575 | Timothy Adkins | Emergency Medicine | 960 48th Ave, Vero Beach, FL 32966-2850 | 2005-06-01 |
| 1760996300 | Gilford Sound Emergency Physicians LLC | Emergency Medicine | 1000 36th St, Vero Beach, FL 32960 | 2017-11-17 |
| 1083085773 | First Choice Healthcare LLC | Emergency Medicine | 1867 20th Ave, Vero Beach, FL 32960-3573 | 2015-10-07 |
| 1386027126 | Andrew Brill | Emergency Medicine | 1000 36th St, Vero Beach, FL 32960-4862 | 2015-06-29 |
| 1932527884 | Julie Estrada | Emergency Medicine | 1000 36th St, Vero Beach, FL 32960-4862 | 2014-03-28 |
| 1396172318 | Indian River Emergency Group, LLC | Emergency Medicine | 1000 36th St, Vero Beach, FL 32960-4862 | 2013-10-04 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32963 |
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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.