JUDY CARLENE JACKSON (NPI# 1528286705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528286705 |
| Entity Type | Individual |
| Full Name | JUDY CARLENE JACKSON |
| Credential | RN |
| Practice Address |
10 Davis Ct Glen Burnie MD 21060-7709 |
| Mailing Address |
2749 Moorgate Rd Baltimore MD 21222-4621 |
| Practice Telephone | 4104241761 |
| Practice Fax Number | 4104241762 |
| Mailing Telephone | 4102828667 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
R041391 | MD | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144860255 | Judy Jackson | Private Vehicle | 29 Morris Dr, Cumberland, VA 23040-2625 | 2020-01-07 |
| 1548671316 | Judy Marie Jackson | Custodial Care Facility | 5941 Wilerson Rd., Rex, GA 30273-1506 | 2014-05-15 |
| 1962624387 | Judy Eva Jackson | Physical Therapist | 38435 5th St. W, Apt J155, Palmdale, CA 93551 | 2007-05-03 |
| 1376512145 | Judy M Jackson | Radiology | 1180 N. Indian Canyon Dr, Ste E218, Palm Springs, CA 92262-4800 | 2006-03-15 |
| 1851931026 | Judy Jackson | Registered Nurse | 206 Gatewood Ave, High Point, NC 27262-4820 | 2020-01-15 |
| 1255700571 | Judy Jackson | Counselor | 2801 Buford Hwy Ne, Suite T30, Brookhaven, GA 30329-2149 | 2015-09-16 |
| 1235486473 | Judy Goldson Jackson | Nurse Practitioner | 2020 S Independence Blvd, Suite 5, Virginia Beach, VA 23453-4776 | 2012-08-07 |
| 1578847505 | Judy Ellen Jackson | Counselor | 1950 N Okmulgee, Okmulgee, OK 74447-6534 | 2011-10-10 |
| 1629205224 | Judy Jackson | Marriage & Family Therapist | 110 N Santa Cruz Ave, Suite C, Los Gatos, CA 95030-5919 | 2009-06-22 |
| Street Address |
10 DAVIS CT |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21060-7709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841821998 | Maria De Los Angeles Alvarez | Home Health Aide | 720 Rollings Lane, Glen Burnie, MD 21060 | 2020-01-28 |
| 1124676200 | Alliance Health Services, LLC | Home Health | 313 Dark Star Way, Glen Burnie, MD 21060 | 2019-08-30 |
| 1902376577 | Karen Marie Huyssoon | Speech-Language Pathologist | 1450 Furnace Avenue, Glen Burnie, MD 21060 | 2018-11-27 |
| 1962917864 | Chantal Tchoumba | Nurse Practitioner | 7704 Abrams Ln, Glen Burnie, MD 21060 | 2017-12-13 |
| 1710271028 | Anne Arundel County Dept. of Health | Clinic/Center | 600 East Ordnance Road, Glen Burnie, MD 21060 | 2011-06-03 |
| 1801124524 | Hope Chiropractic and Wellness | Chiropractor | 7517 Calais Way, Glen Burnie, MD 21060 | 2009-11-19 |
| 1669680534 | Sally Elizabeth Engel Poling | Occupational Therapist | 200 Scott Avenue, Glen Burnie, MD 21060 | 2007-05-21 |
| 1891851754 | Amy E Recce | Chiropractor | 7231 B Ritchie Hwy, Glen Burnie, MD 21060 | 2006-12-28 |
| 1386700243 | Amy & Anthony Recce Dc Pa | Chiropractor | 7231 B Ritchie Highway, Glen Burnie, MD 21060 | 2006-12-28 |
| 1306924386 | Marcus Lavelle Meadows | Optometrist | 6721 Chesapeake Center Drive, Glen Burnie, MD 21060 | 2006-11-01 |
| Find all providers in zip 21060 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972723195 | Vonda Faye Chaney | Registered Nurse | 719 Aquahart Rd, 3rd Floor, School Health Services, Glen Burnie, MD 21061 | 2007-04-27 |
| 1841410255 | Dorothea Louise Dailey | Registered Nurse | 7621 Turnbrook Dr, Glen Burnie, MD 21060-8445 | 2007-04-26 |
| 1518187905 | Celeste Louise Coffelt | Registered Nurse | 615 W Furnace Branch Rd, Glen Burnie, MD 21061-2215 | 2007-04-26 |
| 1528286333 | Suzanne Marie Barnhouse | Registered Nurse | 7904 Freetown Rd, Glen Burnie, MD 21060-8208 | 2007-04-24 |
| 1336367150 | Teri L Walos | Registered Nurse | 7600 Quarterfield Rd, Glen Burnie, MD 21061-3947 | 2007-04-24 |
| 1881812022 | Jacqueline Kosar Heiser | Registered Nurse | 415 Melrose Ave, Glen Burnie, MD 21061-2050 | 2007-04-23 |
| 1659599926 | Katherine Troup Gilde | Registered Nurse | 525 Wellham Ave, Glen Burnie, MD 21061-2162 | 2007-04-23 |
| 1992923106 | Linda S Frost | Registered Nurse | 1035 Dumbarton Rd, Glen Burnie, MD 21060-7038 | 2007-04-23 |
| 1508084872 | Holly E Harshbarger | Registered Nurse | 791 Aquahart Rd Fl 3, Glen Burnie, MD 21061-3961 | 2007-04-23 |
| 1861612764 | Sandra Welch Boland | Registered Nurse | 791 Aquahart Rd, Glen Burnie, MD 21061-3961 | 2007-04-26 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21060 |
Please comment or provide details below to improve the information on JUDY CARLENE JACKSON.
| 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.