MS. JACQUELYN LYNN PAGE (NPI# 1508390105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508390105 |
| Entity Type | Individual |
| Full Name | MS. JACQUELYN LYNN PAGE |
| Credential | CPHT |
| Practice Address |
1200 N West Ave Suite 500 Jackson MI 49202-2179 |
| Practice Telephone | 5177898579 |
| Practice Fax Number | 5177680717 |
| Mailing Telephone | 5177898579 |
| Mailing Fax Number | 5177680717 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 5303007913 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164034484 | Jacquelyn Michelle Page | Speech-Language Pathologist | 4851 S I 35 E Ste 100, Corinth, TX 76210-2348 | 2020-08-18 |
| Street Address |
1200 N WEST AVE SUITE 500 |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-2179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366496051 | Dennis J Glandon | Social Worker | 1200 N West Ave, Suite 400, Jackson, MI 49202-2179 | 2006-05-19 |
| 1669084810 | Sarah Lynn Ackerman | Case Manager/Care Coordinator | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-08-19 |
| 1265055925 | Kelly Ann Parten | Case Manager/Care Coordinator | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-05-28 |
| 1568084143 | James L Horrigan II | Social Worker | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-05-18 |
| 1821619099 | Kimberly Kay Bomar | Social Worker | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-04-29 |
| 1255951281 | Stephanie Elizabeth Goodrich | Case Manager/Care Coordinator | 1200 N West Ave, Jackson, MI 49202-2179 | 2020-04-20 |
| 1104463306 | Chad Lige | Health Educator | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-12-06 |
| 1578100244 | Vickie Lynn Kittle | Peer Specialist | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-12-02 |
| 1710522701 | Crystal Ann Chaffee | Social Worker | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-11-13 |
| 1184269169 | Stephanie Leeann Justice | Case Manager/Care Coordinator | 1200 N West Ave, Jackson, MI 49202-2179 | 2019-11-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013925122 | Polk's Crossgates Discount Drugs Inc. | Pharmacy Technician | 319 Cross Park Dr, Jackson, MS 39208-8905 | 2006-08-04 |
| 1487041851 | Adrian Ford | Pharmacy Technician | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2015-04-22 |
| 1013068071 | Mandy D Buckley | Pharmacy Technician | 200 W Main St, Jackson, TN 38301-6114 | 2007-01-16 |
| 1760541817 | Sabrina Elizabeth Harper | Pharmacy Technician | 616 W Forest Ave, Jackson, TN 38301-3902 | 2006-12-06 |
| 1811085913 | Susan Jean Town Richards | Pharmacy Technician | 300 W Washington, Ste 110, Jackson, MI 49201 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631991 | Mohammad E Salman | Pharmacy Technician | 33280 Richard O Dr, Sterling Hts, MI 48310-6116 | 2020-05-26 |
| 1710443502 | Sherri Ann Brady | Pharmacy Technician | 840 Purdy Rd, Montgomery, MI 49255-9618 | 2019-02-16 |
| 1578039277 | Alexandra A Milantoni | Pharmacy Technician | 22509 Trombly St, Saint Clair Shores, MI 48080-2889 | 2018-10-19 |
| 1912473844 | Adam Mathew King | Pharmacy Technician | 1550 E Beltline Ave Se Ste 175, Grand Rapids, MI 49506-4362 | 2018-10-18 |
| 1225564735 | Ashley Nichole Kochan | Pharmacy Technician | 1001 N Leroy St, Fenton, MI 48430-5308 | 2017-05-03 |
| 1457886848 | Javeria Qamar | Pharmacy Technician | 19173 Red Oak Ln, Brownstown, MI 48193-8804 | 2017-04-24 |
| 1245764356 | Ashly Megan Kronberger | Pharmacy Technician | 312 Atlas St, Gwinn, MI 49841-2823 | 2017-04-14 |
| 1790153831 | Ryan Arthur Silverthorn | Pharmacy Technician | 2874 Tall Oaks Ct, Apt 11, Auburn Hills, MI 48326-4171 | 2015-09-06 |
| 1023485117 | Michelle Ann Anderson | Pharmacy Technician | 9267 Pauline St, Montague, MI 49437-1021 | 2015-08-25 |
| 1861882730 | Alice Mathews | Pharmacy Technician | 7475 Creyts Rd, Dimondale, MI 48821-9416 | 2015-01-30 |
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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.