AMANDA NICOLE JACKSON


Address: 923 Cottage Ave, Miamisburg, OH 45342-1805
Phone: 9377166219

AMANDA NICOLE JACKSON (NPI# 1528309473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528309473
Entity Type Individual
Full Name AMANDA NICOLE JACKSON
Credential LPN
Practice Address 923 Cottage Ave
Miamisburg
OH 45342-1805
Practice Telephone 9377166219
Mailing Telephone 9377166219
Enumeration Date 2013-03-01
Last Update Date 2013-03-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse PN.144284-M-IV OH Nursing Service Providers

Other Providers AMANDA JACKSON

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1013254887 Amanda Meister Jackson Pharmacist 10358 Riverside Dr Ste 140, Palm Beach Gardens, FL 33410-4203 2013-01-13
1285905240 Amanda Jackson Occupational Therapist 1760 Turning Leaf Trl, Haughton, LA 71037-9531 2012-01-23
1245368661 Amanda L Jackson Physical Therapist 17 Carlton Rd, Hutchinson, KS 67502-4423 2007-02-28
1861452112 Amanda Elizabeth Jackson Occupational Therapist 121 Cox St, Benton, AR 72015-4611 2006-03-23
1437763638 Amanda Jackson Pharmacist 7301 Theodore Dawes Rd, Theodore, AL 36582-4029 2020-09-04
1205460045 Amanda Jackson Registered Nurse 940 W Mount Vernon St Ste 220, Nixa, MO 65714-9613 2020-03-02
1629609748 Amanda Jackson Community Health Worker 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 2020-01-28

Office Location

Street Address 923 COTTAGE AVE
City MIAMISBURG
State OH
Zip Code 45342-1805

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205464229 Cameron Holicki Student in an Organized Health Care Education/Training Program Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 2020-03-27
1699315663 Heather Ann Garrett Behavior Technician 9260 Marketplace Drive, Miamisburg, OH 45342 2020-01-08
1770046443 Makayla Rottet Occupational Therapist 10500 Innovation Way #320, Miamisburg, OH 45342 2019-04-10
1932662780 David Chi Student in an Organized Health Care Education/Training Program 2115 Leiter Road, Miamisburg, OH 45342 2019-04-09
1508339557 John R Striebel Dds Inc Dentist 9200 Marketplace Drive, Miamisburg, OH 45342 2019-01-02
1801382320 Laura Maag Nurse Practitioner 415 Byers Rd Ste 300, Miamisburg, OH 45342 2018-07-09
1659862761 Orion Sports Medicine LLC Physical Therapist 2042 Byers Rd, Miamisburg, OH 45342 2018-05-24
1982101879 Avneek Singh Sandhu Student in an Organized Health Care Education/Training Program Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 2018-04-09
1700386125 Daniel Hendricks Nurse Practitioner 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 2018-02-13
1639692015 Delsean Porter Behavior Technician 2750 Technical Dr, Miamisburg, OH 45342 2017-07-18
Find all providers in zip 45342

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144889593 Hillard Kelly IIi Licensed Practical Nurse 2942 Asbury Ct, Miamisburg, OH 45342-4433 2019-06-10
1659871465 Jolonda Elaine Miller Jr. Licensed Practical Nurse 10331 Springpointe Cir, Miamisburg, OH 45342-0913 2018-02-19
1285169862 Osayi Marion Ero Licensed Practical Nurse 2150 Equestrian Dr, Apt 2b, Miamisburg, OH 45342-6005 2017-04-20
1861852022 Jason Evans Licensed Practical Nurse 511 N 12th St, Miamisburg, OH 45342-1959 2016-03-02
1710366935 Katina Walker Licensed Practical Nurse 9221 Towering Pine Drive, F, Miamisburg, OH 45342-5828 2015-05-20
1104220599 Krystal Wright Licensed Practical Nurse 2050 E Central Ave, Apt E, Miamisburg, OH 45342-7623 2014-10-14
1124420344 Dwight Crawford Licensed Practical Nurse 1133 Dunaway St Apt 8, Miamisburg, OH 45342-3881 2014-09-18
1881093318 Charles Richard Williams Jr. Licensed Practical Nurse 37 Lindamede Ln, Miamisburg, OH 45342-3160 2014-08-20
1295081115 Ayanna Brown Licensed Practical Nurse 10355 Springpointe Cir, Apt. B, Miamisburg, OH 45342-0940 2012-07-29
1366705733 N. Ray Crawford Licensed Practical Nurse 9275 Sawgrass Dr, Miamisburg, OH 45342-6779 2012-06-20
Find all providers in MIAMISBURG

Competitor

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City MIAMISBURG
Zip Code 45342

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Dataset Information

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.

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