MISS ELAINE MAE JACKSON (NPI# 1548628860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548628860 |
| Entity Type | Individual |
| Full Name | MISS ELAINE MAE JACKSON |
| Practice Address |
426 1st Ave Two Harbors MN 55616-1614 |
| Practice Telephone | 2183432308 |
| Practice Fax Number | 2188342918 |
| Mailing Telephone | 2188340712 |
| Mailing Fax Number | 2188342918 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467613273 | Elaine M Jackson | Speech-Language Pathologist | 505 Jacks Canyon Rd, Sedona, AZ 86351-7856 | 2008-06-24 |
| 1548310048 | Elaine White Jackson | Counselor | 14843 W Sprague Rd, Suite A, Strongsville, OH 44136-1754 | 2007-01-10 |
| 1558440081 | Elaine S. Jackson | Registered Nurse | 4460 Highland Dr, Ste. #300, Salt Lake City, UT 84124-3543 | 2006-11-03 |
| 1992728554 | Elaine Yi-ling Jackson | Speech-Language Pathologist | 1959 Ne Pacific St, Box 356490, Seattle, WA 98195-0001 | 2006-07-25 |
| Street Address |
426 1ST AVE |
| City | TWO HARBORS |
| State | MN |
| Zip Code | 55616-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265582472 | Paul Martin Trygstad | Dentist | 123 Waterfront Drive, Two Harbors, MN 55616 | 2007-01-11 |
| 1023067642 | Lake View Memorial Hospital, Incorporated | General Acute Care Hospital | 325 11th Ave, Two Harbors, MN 55616 | 2006-05-09 |
| 1457346223 | Lake County Ambulance Service | Ambulance | 421 20th Ave, Two Harbors, MN 55616 | 2005-09-16 |
| 1851818264 | Casandra Lynn Dallum | Dental Hygienist | Po Box 146, Two Harbors, MN 55616-0146 | 2017-08-25 |
| 1700922960 | Amy Lynn Phipps-poe | Physical Therapist | 1503 7th Ave, Two Harbors, MN 55616-1102 | 2007-01-29 |
| 1891018883 | Vision Pro Optical | Optometrist | 1028 7th Ave, Two Harbors, MN 55616-1149 | 2010-03-05 |
| 1619015922 | Sally Elizabeth Stout | Chiropractor | 1026 7th Ave, Two Harbors, MN 55616-1149 | 2007-02-01 |
| 1871623769 | Stout Chiropractic Care, Sc | Clinic/Center | 1026 7th Ave, Two Harbors, MN 55616-1149 | 2007-03-07 |
| 1134150832 | Firstsolutions | Clinic/Center | 1010 4th St, Two Harbors, MN 55616-1200 | 2006-07-05 |
| 1205498631 | Amy Jo Suomi | Nurse Practitioner | 1010 4th St, Two Harbors, MN 55616-1200 | 2019-07-06 |
| Find all providers in zip 55616 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090649 | Total Compliance Solutions, Inc. | Public Health or Welfare | 40 Main St S, Hutchinson, MN 55350-2505 | 2020-10-13 |
| 1972008175 | Tiptop Interpreters LLC | Public Health or Welfare | 17211 Encina Path, Farmington, MN 55024-7332 | 2018-03-28 |
| 1528575149 | East Side Neighborhood Services | Public Health or Welfare | 1700 2nd St Ne, Minneapolis, MN 55413-1139 | 2018-01-04 |
| 1962914333 | Hennepin Healthcare System, Inc | Public Health or Welfare | 2000 Summer St Ne Ste 100, Minneapolis, MN 55413-2648 | 2017-10-25 |
| 1861849978 | County of Pine | Public Health or Welfare | 315 Main St S Ste 200, Pine City, MN 55063-1646 | 2016-05-18 |
| 1780043836 | N and N Interpreters Compmay | Public Health or Welfare | 1535 Comstock Ln N, Plymouth, MN 55447-2870 | 2016-02-17 |
| 1831564285 | Global Language Services LLC | Public Health or Welfare | 2731 Pillsbury Ave S Apt 207, Minneapolis, MN 55408-1591 | 2015-12-10 |
| 1316320971 | K-squared Fitness, L.L.C. | Public Health or Welfare | 1100 Cliff Rd, Eagan, MN 55123 | 2015-07-01 |
| 1225417223 | Pillsbury United Communities | Public Health or Welfare | 3501 Chicago Ave, Minneapolis, MN 55407-2109 | 2015-05-22 |
| 1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
| Find all providers with the same taxonomy | ||||
| City | TWO HARBORS |
| Zip Code | 55616 |
Please comment or provide details below to improve the information on MISS ELAINE MAE 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.