MS. SHIRLEY JEAN JACKSON (NPI# 1538218292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538218292 |
| Entity Type | Individual |
| Full Name | MS. SHIRLEY JEAN JACKSON |
| Credential | RN |
| Practice Address |
21 North Atwood Ave Janesville WI 53648 |
| Mailing Address |
13236 Wynstone Way Rockton IL 61072-3254 |
| Practice Telephone | 6089314477 |
| Mailing Telephone | 6089314477 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39916200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| 1790343507 | Shirley Jackson | Counselor | 245 11th St, San Francisco, CA 94103-3732 | 2019-06-05 |
| 1558806687 | Shirley Jackson | Substance Abuse Rehabilitation Facility | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2016-12-28 |
| 1144689936 | Shirley Jackson | Licensed Vocational Nurse | 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 | 2016-02-22 |
| 1982943486 | Shirley Jackson | Registered Nurse | 7600 Geogia Ave, Suite 323, Washington, DC 20012 | 2013-02-05 |
| 1396926499 | Shirley Jackson | Counselor | 3625 14th St, Riverside, CA 92501-3815 | 2007-11-16 |
| 1407947484 | Shirley A Jackson | Counselor | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-09-27 |
| Street Address |
21 NORTH ATWOOD AVE |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972982 | Patricia Theisen | Speech-Language Pathologist | 1515 Greenview Ave, Janesville, WI 53548-2800 | 2020-11-03 |
| 1427656453 | Suzanne Q Hamilton | Speech-Language Pathologist | 2304 Hillcrest Dr, Janesville, WI 53545-4318 | 2020-10-12 |
| 1518574516 | Chelsey Logan | Behavioral Analyst | 519 Midland Ct Ste 2and5, Janesville, WI 53546-2348 | 2020-09-24 |
| 1326650227 | Emily J. Szulczewski | Licensed Practical Nurse | 4724 W Greenfield Rd, Janesville, WI 53548-9111 | 2020-08-20 |
| 1396357653 | Lisa M Bahling | Registered Nurse | 1811 Mount Zion Ave, Janesville, WI 53545-1236 | 2020-08-18 |
| 1295344281 | Jared Elijah Traver | Student in an Organized Health Care Education/Training Program | 1147 Yuba St, Janesville, WI 53545-1037 | 2020-07-27 |
| 1306464268 | Jennah E Benson | Counselor | 1 S Main Street, Janesville, WI 53545-3977 | 2020-07-08 |
| 1891319273 | Janesville Endodontics | Dentist | 1616 N Randall Ave Ste 180, Janesville, WI 53545-1155 | 2020-06-02 |
| 1093339756 | April Schoeller | Registered Nurse | 4327 Huntinghorne Dr, Janesville, WI 53546-3541 | 2020-05-28 |
| 1972130755 | Seung-ri Lee | Pharmacist | 1700 Milton Ave, Janesville, WI 53545-0833 | 2020-03-24 |
| Find all providers in JANESVILLE | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093339756 | April Schoeller | Registered Nurse | 4327 Huntinghorne Dr, Janesville, WI 53546-3541 | 2020-05-28 |
| 1417298738 | Linda Marie Caldean | Registered Nurse | 2022 Ravine St, Janesville, WI 53548-3446 | 2013-03-12 |
| 1225399561 | Laurette Lyn Juarez Beard | Registered Nurse | 1033 N Claremont Dr, Janesville, WI 53545-1301 | 2012-06-04 |
| 1407992324 | Sheila Rae Bender | Registered Nurse | 1613 N Harmony Dr, Janesville, WI 53545-1227 | 2007-01-29 |
| 1821142209 | Monica Joan Delabarre | Registered Nurse | 930 N Washington St, Apt 130, Janesville, WI 53548-2876 | 2007-01-22 |
| 1942269220 | Juanita Marie Hendrickson | Registered Nurse | 410 Jackman St, Janesville, WI 53545-4127 | 2006-03-23 |
| 1154390490 | Amy Millard | Registered Nurse | 602 Caroline St, Janesville, WI 53545-2458 | 2006-03-17 |
| 1609845379 | Lisa V. Rosenblum | Registered Nurse | 1217 Elida St, Janesville, WI 53545-1807 | 2006-03-15 |
| 1295956548 | Tina Jo Zomok | Registered Nurse | 930 N Washington St, Janesville, WI 53548-2876 | 2007-05-02 |
| 1497896955 | Nicole M. Salter Braun | Registered Nurse | 1000 Mineral Point Ave, Janesville, WI 53548 | 2007-02-09 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53648 |
Please comment or provide details below to improve the information on MS. SHIRLEY JEAN 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.