LASALLE JACKSON (NPI# 1508331711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508331711 |
| Entity Type | Individual |
| Full Name | LASALLE JACKSON |
| Practice Address |
606 Walnut St Port Gibson MS 39150-2140 |
| Practice Telephone | 6015290527 |
| Mailing Telephone | 6015290527 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | MS | Other Service Providers |
| Street Address |
606 WALNUT ST |
| City | PORT GIBSON |
| State | MS |
| Zip Code | 39150-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326113135 | Eli George Ellis Jr. | Dentist | 911 Market St, Port Gibson, MS 39150 | 2006-11-21 |
| 1528032406 | David Mccaa Headley | Family Medicine | 405 Market St, Port Gibson, MS 39150 | 2006-02-15 |
| 1144500091 | Latoya Denise Colenberg Eakins | Dentist | 2045 Highway 61 N, Port Gibson, MS 39150 | 2011-08-24 |
| 1982914628 | Delarious Oneal Stewart | Counselor | 404 Market St, Port Gibson, MS 39150 | 2010-10-15 |
| 1104904457 | Claiborne County Hospital | Medicare Defined Swing Bed Unit | 123 Mccomb Avenue, Port Gibson, MS 39150-1004 | 2006-11-02 |
| 1073176749 | Ginetta Felton Anderson | Nurse Practitioner | 405 Market St, Port Gibson, MS 39150-2024 | 2019-04-18 |
| 1265753172 | Jennifer Leigh Greer | Nurse Practitioner | 405 Market St, Port Gibson, MS 39150-2024 | 2010-06-15 |
| 1578627782 | David M. Headley, M.d. Pa | Family Medicine | 405 Market St, Port Gibson, MS 39150-2024 | 2006-12-21 |
| 1427296748 | Claiborne County School District | Local Education Agency (LEA) | 404 Market St, Port Gibson, MS 39150-2025 | 2009-01-23 |
| 1235394966 | Claiborne County Family Health Center, Inc. | Clinic/Center | 880 Anthony St, 2045 Highway 61 North, Port Gibson, MS 39150-2050 | 2008-07-22 |
| Find all providers in zip 39150 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305148 | Jessica Overstreet | Driver | 1147 Pat Luckett Rd, Canton, MS 39046-9102 | 2020-10-27 |
| 1730793688 | Sharon Gaddis | Driver | 3825 Mount Charity Rd, Carthage, MS 39051-8666 | 2020-09-08 |
| 1265066138 | Sarah Howard | Driver | 5880 Ridgewood Rd Apt H65, Jackson, MS 39211-2628 | 2020-02-28 |
| 1174160758 | Andrew James Rodgers | Driver | 104 Cherry Bark Way, Pearl, MS 39208-5542 | 2019-12-03 |
| 1023653839 | Frank Stovall | Driver | 716 W Georgetown St, Crystal Springs, MS 39059-2778 | 2019-11-15 |
| 1841835006 | Jessica Hearn Hudson | Driver | 403 Westview Ln, Columbus, MS 39705-8162 | 2019-11-12 |
| 1982252300 | Valarie White | Driver | 1305 N 7th Ave, Laurel, MS 39440-2201 | 2019-08-28 |
| 1548827405 | Sonya Jeaneanne Smith | Driver | 160 Broadway St Apt J4, Clinton, MS 39056-4840 | 2019-05-24 |
| 1225694490 | Daniel Scott Morgan | Driver | 5913 Bay Tree Rd, Ocean Springs, MS 39564-2202 | 2019-05-14 |
| 1952965840 | Labrintary Jackson | Driver | 119 Herman Johnson W, Indianola, MS 38751-3664 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
| City | PORT GIBSON |
| Zip Code | 39150 |
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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.